Provider Demographics
NPI:1376234898
Name:CARDONA, JULISSA (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:JULISSA
Middle Name:
Last Name:CARDONA
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 CASTLETON DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-7694
Mailing Address - Country:US
Mailing Address - Phone:407-433-0458
Mailing Address - Fax:
Practice Address - Street 1:1860 CASTLETON DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-7694
Practice Address - Country:US
Practice Address - Phone:407-433-0458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula