Provider Demographics
NPI:1740091909
Name:ABOODY, DANIELLA ADI
Entity type:Individual
Prefix:
First Name:DANIELLA
Middle Name:ADI
Last Name:ABOODY
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 1:668 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4101
Mailing Address - Country:US
Mailing Address - Phone:818-987-7522
Mailing Address - Fax:
Practice Address - Street 1:668 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4101
Practice Address - Country:US
Practice Address - Phone:818-987-7522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula