Provider Demographics
NPI:1235783754
Name:DOSS, CARYLI RACHELLE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:CARYLI
Middle Name:RACHELLE
Last Name:DOSS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 DOTSON ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4802
Mailing Address - Country:US
Mailing Address - Phone:661-243-5204
Mailing Address - Fax:661-869-6983
Practice Address - Street 1:2615 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2014
Practice Address - Country:US
Practice Address - Phone:661-869-6438
Practice Address - Fax:661-869-6983
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2019-08-07
Deactivation Date:2019-08-01
Deactivation Code:
Reactivation Date:2019-08-07
Provider Licenses
StateLicense IDTaxonomies
CA503964163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse