Provider Demographics
NPI:1821854209
Name:TOMARO MONIQUE, LLC
Entity Type:Organization
Organization Name:TOMARO MONIQUE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH AND POSTPARTUM DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMARO
Authorized Official - Middle Name:M
Authorized Official - Last Name:PILGRIM
Authorized Official - Suffix:
Authorized Official - Credentials:HS-BCP, LMSW, DOULA
Authorized Official - Phone:302-597-0179
Mailing Address - Street 1:1261 PARISH AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-3338
Mailing Address - Country:US
Mailing Address - Phone:302-597-0179
Mailing Address - Fax:
Practice Address - Street 1:714 W 11TH ST FL 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1315
Practice Address - Country:US
Practice Address - Phone:302-779-2961
Practice Address - Fax:844-222-8986
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOMARO'S CHANGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty