Provider Demographics
NPI:1982337754
Name:HODGE, SUEHILA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:SUEHILA
Middle Name:
Last Name:HODGE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3990 NW 42ND AVE APT 309
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4835
Mailing Address - Country:US
Mailing Address - Phone:240-766-9281
Mailing Address - Fax:
Practice Address - Street 1:3990 NW 42ND AVE APT 309
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-4835
Practice Address - Country:US
Practice Address - Phone:240-766-9281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula