MEDICARE: MRS. VALRIE SOMMERVILLE DOU.000278 STATE OHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	DOU00278	OH

General Provider Information

NPI Number	:	1790618809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALRIE SOMMERVILLE DOU.000278 STATE OHI

Provider Business Mailing Address
First Line	:	313 FEDERAL AVE NE
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-8429
Country	:	US
Telephone Number	:	234-387-6650
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 FEDERAL AVE NE
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-8429
Country	:	US
Telephone Number	:	234-387-6650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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