Individual
NAILAH STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBD
Contact information
Practice address
652 CESAR E CHAVEZ AVE SW UNIT 101, GRAND RAPIDS, MI 49503-3973
(313) 434-9629
Mailing address
652 CESAR E CHAVEZ AVE SW UNIT 101, GRAND RAPIDS, MI 49503-3973
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
08/13/2024
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