Provider Demographics
NPI:1720829526
Name:MASTERS, CHRISHAY T (DOULA)
Entity type:Individual
Prefix:
First Name:CHRISHAY
Middle Name:T
Last Name:MASTERS
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 1:5650 WHITELOCK PARKWAY
Mailing Address - Street 2:STE 130 #2185
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757
Mailing Address - Country:US
Mailing Address - Phone:707-580-5410
Mailing Address - Fax:
Practice Address - Street 1:5650 WHITELOCK PARKWAY
Practice Address - Street 2:STE 130 #2185
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757
Practice Address - Country:US
Practice Address - Phone:707-580-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALIC24-000724374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula