Healthcare Provider Details

I. General information

NPI: 1851282859
Provider Name (Legal Business Name): DESIREE ANN SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 PEACH AVE APT 39
CLOVIS CA
93612-3558
US

IV. Provider business mailing address

2205 PEACH AVE APT 39
CLOVIS CA
93612-3558
US

V. Phone/Fax

Practice location:
  • Phone: 559-929-2678
  • Fax:
Mailing address:
  • Phone: 559-929-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: