Provider Demographics
NPI:1295481208
Name:CHARON, LEEBETSY (DOULA)
Entity type:Individual
Prefix:
First Name:LEEBETSY
Middle Name:
Last Name:CHARON
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 1:1400 SW 87TH AVE APT I
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3341
Mailing Address - Country:US
Mailing Address - Phone:305-984-9261
Mailing Address - Fax:
Practice Address - Street 1:1400 SW 87TH AVE APT I
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3341
Practice Address - Country:US
Practice Address - Phone:305-984-9261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula