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Individual

MRS. TASHA NICOLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DOULA

Contact information

Practice address
916 W COLISEUM BLVD STE G, FORT WAYNE, IN 46808-1291
(571) 298-7618
Mailing address
9823 EBYWOOD LN, FORT WAYNE, IN 46835-9742
(571) 298-7618

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
IN
174N00000X
Lactation Consultant (Non-RN)
IN
374J00000X
Doula
Primary

Other

Enumeration date
04/12/2024
Last updated
04/12/2024
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