Individual
NICOLE R AUSDEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AZCCE,AZCD,CD(DONA)
Contact information
Practice address
1640 W MONTE AVE, MESA, AZ 85202-7427
(480) 671-4534
Mailing address
1640 W MONTE AVE, MESA, AZ 85202-7427
(480) 671-4534
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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