Provider Demographics
NPI:1447854807
Name:RODRIGUEZ, ARACELY (DOULA)
Entity type:Individual
Prefix:
First Name:ARACELY
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2587 LOMITA LN
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3722
Mailing Address - Country:US
Mailing Address - Phone:909-923-2676
Mailing Address - Fax:
Practice Address - Street 1:2587 LOMITA LN
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3722
Practice Address - Country:US
Practice Address - Phone:909-923-2676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula