Healthcare Provider Details

I. General information

NPI: 1134925456
Provider Name (Legal Business Name): CHERON ROBINSON RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 OREGON AVE
STOCKTON CA
95204-4618
US

IV. Provider business mailing address

2132 OREGON AVE
STOCKTON CA
95204-4618
US

V. Phone/Fax

Practice location:
  • Phone: 707-389-5717
  • Fax:
Mailing address:
  • Phone: 707-389-5717
  • 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: