Provider Demographics
NPI:1215653357
Name:HENRIQUES, SOUNJI (DOULA)
Entity type:Individual
Prefix:MISS
First Name:SOUNJI
Middle Name:
Last Name:HENRIQUES
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 1:8000 SHORE FRONT PKWY APT 6O
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-2044
Mailing Address - Country:US
Mailing Address - Phone:347-794-5874
Mailing Address - Fax:
Practice Address - Street 1:8000 SHORE FRONT PKWY APT 6O
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-2044
Practice Address - Country:US
Practice Address - Phone:347-794-5874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula