Provider Demographics
NPI:1972803005
Name:SCHRAUGER PEREZ, BRANDI JEAN (LM)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:JEAN
Last Name:SCHRAUGER PEREZ
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:JEAN
Other - Last Name:SCHRAUGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM
Mailing Address - Street 1:3685 DOWS PRAIRIE RD.
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-9444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:839 NINTH ST
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6229
Practice Address - Country:US
Practice Address - Phone:707-684-0457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM274176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife