Provider Demographics
NPI:1285378703
Name:IGLESIAS, TAJA (DOULA)
Entity type:Individual
Prefix:
First Name:TAJA
Middle Name:
Last Name:IGLESIAS
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 1:2204 S BUCHANAN ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1073
Mailing Address - Country:US
Mailing Address - Phone:760-525-5103
Mailing Address - Fax:
Practice Address - Street 1:2204 S BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1073
Practice Address - Country:US
Practice Address - Phone:760-525-5103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171W00000XOther Service ProvidersContractor
No175T00000XOther Service ProvidersPeer Specialist