Provider Demographics
NPI:1417763186
Name:STRAUSS, VASHON M
Entity type:Individual
Prefix:
First Name:VASHON
Middle Name:M
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 BOULDER AVE
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:CA
Mailing Address - Zip Code:95330-9190
Mailing Address - Country:US
Mailing Address - Phone:650-642-0661
Mailing Address - Fax:
Practice Address - Street 1:961 BOULDER AVE
Practice Address - Street 2:
Practice Address - City:LATHROP
Practice Address - State:CA
Practice Address - Zip Code:95330-9190
Practice Address - Country:US
Practice Address - Phone:650-642-0661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula