Provider Demographics
NPI:1265755912
Name:FENLY, LEIGH (CD (DONA))
Entity type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:
Last Name:FENLY
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14091 CARMEL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4308
Mailing Address - Country:US
Mailing Address - Phone:858-243-3053
Mailing Address - Fax:
Practice Address - Street 1:14091 CARMEL RIDGE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4308
Practice Address - Country:US
Practice Address - Phone:858-243-3053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula