Individual
TAJA M BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 ANDREWS AVE S APT 6A, BRONX, NY 10453-0479
(347) 543-7520
Mailing address
1705 ANDREWS AVE S APT 6A, BRONX, NY 10453-0479
(347) 543-7520
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
09/14/2024
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