Provider Demographics
NPI:1437571205
Name:PIERRE, DEMETRIA (MA)
Entity Type:Individual
Prefix:
First Name:DEMETRIA
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1757
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91785-1757
Mailing Address - Country:US
Mailing Address - Phone:909-438-6126
Mailing Address - Fax:
Practice Address - Street 1:1432 MORTON CIR APT A
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-5725
Practice Address - Country:US
Practice Address - Phone:909-438-6126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula