Provider Demographics
NPI:1164163093
Name:DEES, JESSICA (DOULA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:DEES
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 MERINO AVE
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-8638
Mailing Address - Country:US
Mailing Address - Phone:760-983-0934
Mailing Address - Fax:
Practice Address - Street 1:10015 MERINO AVE
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-8638
Practice Address - Country:US
Practice Address - Phone:760-983-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula