Provider Demographics
NPI:1710727136
Name:LE BLANC, SILVIA (DOULA SERVICES)
Entity type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:
Last Name:LE BLANC
Suffix:
Gender:F
Credentials:DOULA SERVICES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-0217
Mailing Address - Country:US
Mailing Address - Phone:209-968-6918
Mailing Address - Fax:
Practice Address - Street 1:418 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95357-0217
Practice Address - Country:US
Practice Address - Phone:209-968-6918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula