Provider Demographics
NPI:1386532505
Name:ESCAMILLA DURAN, VILMA (PMH-C)
Entity type:Individual
Prefix:
First Name:VILMA
Middle Name:
Last Name:ESCAMILLA DURAN
Suffix:
Gender:F
Credentials:PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 JUNCTION ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48209-2461
Mailing Address - Country:US
Mailing Address - Phone:323-246-6652
Mailing Address - Fax:
Practice Address - Street 1:1204 JUNCTION ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209-2461
Practice Address - Country:US
Practice Address - Phone:323-246-6652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula