Provider Demographics
NPI:1881433241
Name:PRADO, SARA HERLILNDA (PCD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:HERLILNDA
Last Name:PRADO
Suffix:
Gender:F
Credentials:PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10200 DE SOTO AVE APT 126
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3247
Mailing Address - Country:US
Mailing Address - Phone:818-447-2169
Mailing Address - Fax:
Practice Address - Street 1:10200 DE SOTO AVE APT 126
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3247
Practice Address - Country:US
Practice Address - Phone:818-447-2169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty