Provider Demographics
NPI:1891573101
Name:HUDSON SHERRETS, SYXX ELAINE (DONA DOULA)
Entity Type:Individual
Prefix:
First Name:SYXX
Middle Name:ELAINE
Last Name:HUDSON SHERRETS
Suffix:
Gender:F
Credentials:DONA DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 2ND LN
Mailing Address - Street 2:
Mailing Address - City:BIG BEAR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92314-9513
Mailing Address - Country:US
Mailing Address - Phone:909-380-5750
Mailing Address - Fax:
Practice Address - Street 1:2190 2ND LN
Practice Address - Street 2:
Practice Address - City:BIG BEAR CITY
Practice Address - State:CA
Practice Address - Zip Code:92314-9513
Practice Address - Country:US
Practice Address - Phone:909-380-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula