Provider Demographics
NPI:1891509584
Name:CONTRERAS, MARIA ETELVINA (RN, ASN,LCCE, IBCLC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ETELVINA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:RN, ASN,LCCE, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 GERARD AVE
Mailing Address - Street 2:
Mailing Address - City:LE GRAND
Mailing Address - State:CA
Mailing Address - Zip Code:95333-8706
Mailing Address - Country:US
Mailing Address - Phone:209-658-1317
Mailing Address - Fax:
Practice Address - Street 1:10350 GERARD AVE
Practice Address - Street 2:
Practice Address - City:LE GRAND
Practice Address - State:CA
Practice Address - Zip Code:95333-8706
Practice Address - Country:US
Practice Address - Phone:209-658-1317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula