Provider Demographics
NPI:1962221218
Name:MARTINS-LEE, CAMILA JARDIM (DOULA)
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:JARDIM
Last Name:MARTINS-LEE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:CAMILA
Other - Middle Name:
Other - Last Name:JARDIM MARTINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19096 SANTA MARIA AVE
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-3115
Mailing Address - Country:US
Mailing Address - Phone:240-687-4173
Mailing Address - Fax:
Practice Address - Street 1:19096 SANTA MARIA AVE
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-3115
Practice Address - Country:US
Practice Address - Phone:240-687-4173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula