Healthcare Provider Details

I. General information

NPI: 1477485449
Provider Name (Legal Business Name): CHRISTINA REMEDIOS DEDIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 1ST ST
RODEO CA
94572-1001
US

IV. Provider business mailing address

215 1ST ST
RODEO CA
94572-1001
US

V. Phone/Fax

Practice location:
  • Phone: 707-373-4583
  • Fax:
Mailing address:
  • Phone: 707-373-4583
  • 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: