Provider Demographics
NPI:1730940768
Name:CONTRERAS, BLANCA (DOULA)
Entity type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:
Last Name:CONTRERAS
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 1:2621 GREEN RIVER RD
Mailing Address - Street 2:SUITE 105 #2070
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-7454
Mailing Address - Country:US
Mailing Address - Phone:909-313-4419
Mailing Address - Fax:
Practice Address - Street 1:3398 EVENING STAR CIRCLE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881
Practice Address - Country:US
Practice Address - Phone:909-313-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula