Provider Demographics
NPI:1467837575
Name:RIVERFRONT DOULAS, LLC
Entity Type:Organization
Organization Name:RIVERFRONT DOULAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-269-7938
Mailing Address - Street 1:114 TRELON WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-3988
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:114 TRELON WAY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-3988
Practice Address - Country:US
Practice Address - Phone:501-269-7938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty