Provider Demographics
NPI:1558183665
Name:RANGEL, TANICA (DOULA)
Entity type:Individual
Prefix:
First Name:TANICA
Middle Name:
Last Name:RANGEL
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 1:11295 FOLSOM BLVD # 428
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6204
Mailing Address - Country:US
Mailing Address - Phone:916-595-4246
Mailing Address - Fax:
Practice Address - Street 1:11295 FOLSOM BLVD # 428
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-6204
Practice Address - Country:US
Practice Address - Phone:916-595-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula