Healthcare Provider Details

I. General information

NPI: 1336864073
Provider Name (Legal Business Name): CYNTHIA PILLAJO-LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 KERNWOOD AVE
BALTIMORE MD
21212-4718
US

IV. Provider business mailing address

4611 KERNWOOD AVE
BALTIMORE MD
21212-4718
US

V. Phone/Fax

Practice location:
  • Phone: 443-713-8818
  • Fax:
Mailing address:
  • Phone: 443-713-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: