Provider Demographics
NPI:1396462313
Name:JURUPA VALLEY DOULAS,LLC
Entity type:Organization
Organization Name:JURUPA VALLEY DOULAS,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-410-6731
Mailing Address - Street 1:8082 LIMONITE AVE STE 3675
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-6110
Mailing Address - Country:US
Mailing Address - Phone:951-410-6731
Mailing Address - Fax:
Practice Address - Street 1:8082 LIMONITE AVE STE 3675
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-6110
Practice Address - Country:US
Practice Address - Phone:951-410-6731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty