MEDICARE: MS. DANIELLE SUE ESCAMILLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1043191208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE SUE ESCAMILLA

Provider Business Mailing Address
First Line	:	27741 BURROUGH NORTH RD
Second Line	:
City	:	TOLLHOUSE
State	:	CA
Zip	:	93667-9630
Country	:	US
Telephone Number	:	616-323-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	27741 BURROUGH NORTH RD
Second Line	:
City	:	TOLLHOUSE
State	:	CA
Zip	:	93667-9630
Country	:	US
Telephone Number	:	616-323-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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