Provider Demographics
NPI:1598173817
Name:SUMNER, SALINA (TRAINED DOULA)
Entity Type:Individual
Prefix:
First Name:SALINA
Middle Name:
Last Name:SUMNER
Suffix:
Gender:F
Credentials:TRAINED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 CALLE TRES LOMAS
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-2204
Mailing Address - Country:US
Mailing Address - Phone:619-267-3880
Mailing Address - Fax:
Practice Address - Street 1:2602 CALLE TRES LOMAS
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92139-2204
Practice Address - Country:US
Practice Address - Phone:619-267-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACODE 37OtherNURSING SERVICE REALTED PROVIDERS