Provider Demographics
NPI:1033485230
Name:OSMAN, DOREET JUDITH (CD)
Entity Type:Individual
Prefix:MS
First Name:DOREET
Middle Name:JUDITH
Last Name:OSMAN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CALLE DE MADERA
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2102
Mailing Address - Country:US
Mailing Address - Phone:760-390-3565
Mailing Address - Fax:
Practice Address - Street 1:215 CALLE DE MADERA
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2102
Practice Address - Country:US
Practice Address - Phone:760-390-3565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula