Healthcare Provider Details

I. General information

NPI: 1710896527
Provider Name (Legal Business Name): SAMANTHA M REICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3091 EASTMAN LN
PETALUMA CA
94952-1679
US

IV. Provider business mailing address

3091 EASTMAN LN
PETALUMA CA
94952-1679
US

V. Phone/Fax

Practice location:
  • Phone: 209-855-1340
  • Fax:
Mailing address:
  • Phone: 209-855-1340
  • 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: