Provider Demographics
NPI:1912742164
Name:ROSS, CANDICE ARLEENA (DOULA)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:ARLEENA
Last Name:ROSS
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 1:608 DUTCH HILL DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3457
Mailing Address - Country:US
Mailing Address - Phone:517-706-7225
Mailing Address - Fax:
Practice Address - Street 1:608 DUTCH HILL DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3457
Practice Address - Country:US
Practice Address - Phone:517-706-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula