Provider Demographics
NPI:1295389344
Name:DAVON CRAWFORD
Entity Type:Organization
Organization Name:DAVON CRAWFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH/POSTPARTUM DOULA
Authorized Official - Prefix:
Authorized Official - First Name:DAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CD,PCD(DONA)
Authorized Official - Phone:404-484-4717
Mailing Address - Street 1:1009 PORTER ST APT 201
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-7753
Mailing Address - Country:US
Mailing Address - Phone:404-484-4717
Mailing Address - Fax:
Practice Address - Street 1:725 WASHINGTON ST # 310
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3924
Practice Address - Country:US
Practice Address - Phone:404-484-4717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance TherapistGroup - Multi-Specialty