Provider Demographics
NPI:1801137575
Name:STROH, JENNIFER SUZANNE (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SUZANNE
Last Name:STROH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:SUZANNE
Other - Last Name:BUCKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1101 WALNUT AVE
Mailing Address - Street 2:APT C
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-4841
Mailing Address - Country:US
Mailing Address - Phone:714-396-6944
Mailing Address - Fax:
Practice Address - Street 1:1101 WALNUT AVE
Practice Address - Street 2:APT C
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-4841
Practice Address - Country:US
Practice Address - Phone:714-396-6944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula