Provider Demographics
NPI:1255205019
Name:SAMPAIO, LADJANE D SR
Entity type:Individual
Prefix:
First Name:LADJANE
Middle Name:D
Last Name:SAMPAIO
Suffix:SR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CORTE LENOSA
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1703
Mailing Address - Country:US
Mailing Address - Phone:415-301-1112
Mailing Address - Fax:
Practice Address - Street 1:6 CORTE LENOSA
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1703
Practice Address - Country:US
Practice Address - Phone:415-301-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula