Provider Demographics
NPI:1124338801
Name:SHELTON, DANIA MAHMOUD KABBANI (LM, CPM)
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:MAHMOUD KABBANI
Last Name:SHELTON
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 MANGROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2339
Mailing Address - Country:US
Mailing Address - Phone:530-559-0328
Mailing Address - Fax:888-464-7958
Practice Address - Street 1:1925 MANGROVE AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2339
Practice Address - Country:US
Practice Address - Phone:530-559-0328
Practice Address - Fax:888-464-7958
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM275176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife