Provider Demographics
NPI:1720836760
Name:KENDRICKS, AMAZINE RENE (DOULA)
Entity Type:Individual
Prefix:MISS
First Name:AMAZINE
Middle Name:RENE
Last Name:KENDRICKS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:KALMING
Other - Middle Name:KENDRICKS
Other - Last Name:DOULA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:3825 WENATCHEE AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-1615
Mailing Address - Country:US
Mailing Address - Phone:661-381-0633
Mailing Address - Fax:
Practice Address - Street 1:3825 WENATCHEE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-1615
Practice Address - Country:US
Practice Address - Phone:661-381-0633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula