Provider Demographics
NPI:1972346252
Name:MENDOZA, MARIANELA (DOULA)
Entity type:Individual
Prefix:
First Name:MARIANELA
Middle Name:
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:MARIANELA
Other - Middle Name:
Other - Last Name:MENDOZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:52 MURICA AISLE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-0253
Mailing Address - Country:US
Mailing Address - Phone:714-829-5776
Mailing Address - Fax:
Practice Address - Street 1:52 MURICA AISLE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-0253
Practice Address - Country:US
Practice Address - Phone:714-829-5776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty