Provider Demographics
NPI:1609634518
Name:SANTOS CARNEIRO, SUELY APARECIDA
Entity Type:Individual
Prefix:
First Name:SUELY
Middle Name:APARECIDA
Last Name:SANTOS CARNEIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CASTLE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2641
Mailing Address - Country:US
Mailing Address - Phone:415-240-6871
Mailing Address - Fax:
Practice Address - Street 1:333 CASTLE ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2641
Practice Address - Country:US
Practice Address - Phone:415-240-6871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula