Provider Demographics
NPI:1851966402
Name:EAST, KAREN (DOULA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:EAST
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 1:16250 HOMECOMING DR UNIT 1623
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-8850
Mailing Address - Country:US
Mailing Address - Phone:909-632-4475
Mailing Address - Fax:
Practice Address - Street 1:16250 HOMECOMING DR UNIT 1623
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91708-8850
Practice Address - Country:US
Practice Address - Phone:909-632-4475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14325374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty