Healthcare Provider Details

I. General information

NPI: 1417863614
Provider Name (Legal Business Name): SISTER LOVING SISTERS DOULA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7199 CITRUS AVE APT 207A
FONTANA CA
92336-1891
US

IV. Provider business mailing address

416 N H ST UNIT E
SAN BERNARDINO CA
92410-3268
US

V. Phone/Fax

Practice location:
  • Phone: 909-492-2011
  • Fax:
Mailing address:
  • Phone: 909-492-2011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LASHOUN L WILSON
Title or Position: OWNER
Credential:
Phone: 909-492-2011