Provider Demographics
NPI:1720565708
Name:SANGIULIANO-JEMAL, DESIREE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:SANGIULIANO-JEMAL
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 KEITHSHIRE CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2845
Mailing Address - Country:US
Mailing Address - Phone:210-508-0174
Mailing Address - Fax:
Practice Address - Street 1:2518 KEITHSHIRE CRK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2845
Practice Address - Country:US
Practice Address - Phone:210-508-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula