Provider Demographics
NPI:1760196976
Name:HALL, ALEXIS J (DOULA)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:J
Last Name:HALL
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 REDWING ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-1761
Mailing Address - Country:US
Mailing Address - Phone:707-980-1393
Mailing Address - Fax:
Practice Address - Street 1:274 REDWING ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-1761
Practice Address - Country:US
Practice Address - Phone:707-980-1393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula