Provider Demographics
NPI:1679387989
Name:MUSAMBACINE, ELEONORA
Entity type:Individual
Prefix:
First Name:ELEONORA
Middle Name:
Last Name:MUSAMBACINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LENORE
Other - Middle Name:
Other - Last Name:MUSAMBACINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2853 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-7886
Mailing Address - Country:US
Mailing Address - Phone:510-859-5739
Mailing Address - Fax:
Practice Address - Street 1:6536 TELEGRAPH AVE STE B201
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1172
Practice Address - Country:US
Practice Address - Phone:510-859-5739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula