Provider Demographics
NPI:1821707563
Name:CATARICH, CHANAI (CD,PCD)
Entity Type:Individual
Prefix:
First Name:CHANAI
Middle Name:
Last Name:CATARICH
Suffix:
Gender:F
Credentials:CD,PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 SYRACUSE LN
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-2990
Mailing Address - Country:US
Mailing Address - Phone:209-880-9947
Mailing Address - Fax:
Practice Address - Street 1:1191 SYRACUSE LN
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-2990
Practice Address - Country:US
Practice Address - Phone:209-880-9947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula