Healthcare Provider Details

I. General information

NPI: 1972333854
Provider Name (Legal Business Name): MARIAN M HOWARD DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIAN M HOWARD DOULA

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18680 AMOS RD
BAKERSFIELD CA
93308-9632
US

IV. Provider business mailing address

18680 AMOS RD
BAKERSFIELD CA
93308-9632
US

V. Phone/Fax

Practice location:
  • Phone: 510-846-0013
  • Fax:
Mailing address:
  • Phone: 510-846-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: