Provider Demographics
NPI:1053152470
Name:KAUFUSI, FIPE LONGO (DOULA)
Entity type:Individual
Prefix:
First Name:FIPE
Middle Name:LONGO
Last Name:KAUFUSI
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 1:1371 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-2155
Mailing Address - Country:US
Mailing Address - Phone:510-290-0432
Mailing Address - Fax:
Practice Address - Street 1:1371 10TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2155
Practice Address - Country:US
Practice Address - Phone:510-290-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula