Healthcare Provider Details

I. General information

NPI: 1053170043
Provider Name (Legal Business Name): MAGDALENA ESCHENBERG DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3662 LICHAU RD
PENNGROVE CA
94951-9800
US

IV. Provider business mailing address

3662 LICHAU RD
PENNGROVE CA
94951-9800
US

V. Phone/Fax

Practice location:
  • Phone: 707-867-9973
  • Fax:
Mailing address:
  • Phone: 707-867-9973
  • 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: