Provider Demographics
NPI:1043603731
Name:MAMACARE
Entity Type:Organization
Organization Name:MAMACARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH DOULA MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYET
Authorized Official - Suffix:
Authorized Official - Credentials:BD, CMP
Authorized Official - Phone:831-471-6262
Mailing Address - Street 1:441 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2042
Mailing Address - Country:US
Mailing Address - Phone:831-471-6262
Mailing Address - Fax:
Practice Address - Street 1:441 SPRING ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2042
Practice Address - Country:US
Practice Address - Phone:831-471-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty