Healthcare Provider Details

I. General information

NPI: 1992613293
Provider Name (Legal Business Name): EVELYN GARCIA DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 E ST
EUREKA CA
95503-5320
US

IV. Provider business mailing address

1201 KWES-CHEEN LN UNIT B
ARCATA CA
95521-9099
US

V. Phone/Fax

Practice location:
  • Phone: 707-809-5859
  • Fax:
Mailing address:
  • Phone: 707-498-2784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: