Provider Demographics
NPI:1952133167
Name:TULARE COUNTY DOULA LLC
Entity type:Organization
Organization Name:TULARE COUNTY DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:ROXANNA
Authorized Official - Last Name:BURRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-308-4471
Mailing Address - Street 1:1224 W WESTCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-2457
Mailing Address - Country:US
Mailing Address - Phone:559-308-4471
Mailing Address - Fax:
Practice Address - Street 1:2908 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5731
Practice Address - Country:US
Practice Address - Phone:559-308-4471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty