Provider Demographics
NPI:1285459743
Name:RILEY, SONIA NOEMI (BS, CHW DOULA)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:NOEMI
Last Name:RILEY
Suffix:
Gender:F
Credentials:BS, CHW DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 PERRY AVE SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-3236
Mailing Address - Country:US
Mailing Address - Phone:616-773-0021
Mailing Address - Fax:
Practice Address - Street 1:3434 PERRY AVE SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-3236
Practice Address - Country:US
Practice Address - Phone:616-272-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula