Provider Demographics
NPI:1629864392
Name:DOSS, ANITA
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:DOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 LONE TREE WAY
Mailing Address - Street 2:DEER VALLEY HIGH SCHOOL
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8486
Mailing Address - Country:US
Mailing Address - Phone:925-779-7570
Mailing Address - Fax:
Practice Address - Street 1:4700 LONE TREE WAY
Practice Address - Street 2:DEER VALLEY HIGH SCHOOL
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8486
Practice Address - Country:US
Practice Address - Phone:925-779-7570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach