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NPI Code Detail

MEDICARE: PAULINE MANNING DOULA

MEDICARE:   PAULINE  MANNING  DOULA
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
2374J00000XDoulaCA

General Provider Information

NPI Number : 1952113177
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINE MANNING DOULA
Provider Business Mailing Address
First Line : 8780 19TH ST #205
Second Line : 205
City : RANCHO CUCAMONGA
State : CA
Zip : 91701
Country : US
Telephone Number : 909-232-6840
Fax Number :
Provider Business Practice Location Address
First Line : 3318 W 75TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043
Country : US
Telephone Number : 909-232-6840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2025
Last Update Date : 01/24/2025

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Directions to “ PAULINE MANNING DOULA” Practice Location

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