Healthcare Provider Details

I. General information

NPI: 1871183673
Provider Name (Legal Business Name): SAUNDRA ROSE LEIALOHAMAIKALANIMAI HURWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10106 GREENWOOD AVE N APT 304
SEATTLE WA
98133-9178
US

IV. Provider business mailing address

10106 GREENWOOD AVE N APT 304
SEATTLE WA
98133-9178
US

V. Phone/Fax

Practice location:
  • Phone: 808-895-2534
  • Fax:
Mailing address:
  • Phone: 808-895-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number604-374-077
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: