Provider Demographics
NPI:1629880562
Name:BLOCKER, JOHNNA (POSTPARTUM DOULA)
Entity type:Individual
Prefix:
First Name:JOHNNA
Middle Name:
Last Name:BLOCKER
Suffix:
Gender:F
Credentials:POSTPARTUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 W 38TH
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-1168
Mailing Address - Country:US
Mailing Address - Phone:323-495-9477
Mailing Address - Fax:
Practice Address - Street 1:1077 W 38TH
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-1168
Practice Address - Country:US
Practice Address - Phone:323-495-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula