Provider Demographics
NPI:1003363334
Name:SENIOR, ZAIDIA
Entity Type:Individual
Prefix:
First Name:ZAIDIA
Middle Name:
Last Name:SENIOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 ALAMEDA ST UNIT 19
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8643
Mailing Address - Country:US
Mailing Address - Phone:954-609-6361
Mailing Address - Fax:
Practice Address - Street 1:3145 ALAMEDA ST UNIT 19
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8643
Practice Address - Country:US
Practice Address - Phone:954-609-6361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula