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NPI Code Detail

MEDICARE: BELOVED DOULA SERVICES, LLC

MEDICARE: BELOVED DOULA SERVICES, LLC
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
1374J00000XDoula

General Provider Information

NPI Number : 1457058521
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELOVED DOULA SERVICES, LLC
Provider Business Mailing Address
First Line : 10185 SHADY DAWN LN
Second Line :
City : JAMESTOWN
State : CA
Zip : 95327-9731
Country : US
Telephone Number : 209-559-1485
Fax Number :
Provider Business Practice Location Address
First Line : 10185 SHADY DAWN LN
Second Line :
City : JAMESTOWN
State : CA
Zip : 95327-9731
Country : US
Telephone Number : 209-559-1485
Fax Number :
Authorized Official
Title or Position : OWNER/CERTIFIED DOULA
Name : MRS. MICHELLE JOYCE LOW
Credential : CLD
Telephone Number : 209-559-1485
Provider Enumeration Date : 02/09/2023
Last Update Date : 02/09/2023

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Directions to “BELOVED DOULA SERVICES, LLC ” Practice Location

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