Provider Demographics
NPI:1215612833
Name:MENDONCA SCHWEITZER, THAIS (DOULA)
Entity type:Individual
Prefix:
First Name:THAIS
Middle Name:
Last Name:MENDONCA SCHWEITZER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 PENINSULA AVE APT 309
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1567
Mailing Address - Country:US
Mailing Address - Phone:415-481-2996
Mailing Address - Fax:
Practice Address - Street 1:928 PENINSULA AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-1579
Practice Address - Country:US
Practice Address - Phone:415-481-2996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula