Provider Demographics
NPI:1689494080
Name:DAVIS, DADREAMA (DOULA)
Entity type:Individual
Prefix:
First Name:DADREAMA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:DADREAMA
Other - Middle Name:
Other - Last Name:DAVIS SANDIFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:71 CLIFTON PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1345
Mailing Address - Country:US
Mailing Address - Phone:347-232-0614
Mailing Address - Fax:
Practice Address - Street 1:71 CLIFTON PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1345
Practice Address - Country:US
Practice Address - Phone:347-232-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula