Provider Demographics
NPI:1376398651
Name:ANAYA PENALOZA, MARICELA (DOULA)
Entity Type:Individual
Prefix:
First Name:MARICELA
Middle Name:
Last Name:ANAYA PENALOZA
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:MARICELA
Other - Middle Name:
Other - Last Name:ANAYA PENALOZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOULA
Mailing Address - Street 1:29 SAN JUAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-2615
Mailing Address - Country:US
Mailing Address - Phone:415-595-9171
Mailing Address - Fax:
Practice Address - Street 1:29 SAN JUAN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-2615
Practice Address - Country:US
Practice Address - Phone:415-595-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty