Provider Demographics
NPI:1396022372
Name:WHOOLILURIE, MORIAH MELIN (LM, CPM)
Entity Type:Individual
Prefix:
First Name:MORIAH
Middle Name:MELIN
Last Name:WHOOLILURIE
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 W DE LA GUERRA ST APT C
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3718
Mailing Address - Country:US
Mailing Address - Phone:805-452-6972
Mailing Address - Fax:
Practice Address - Street 1:216 W DE LA GUERRA ST APT C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3718
Practice Address - Country:US
Practice Address - Phone:805-452-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA318176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife