Individual
SHANI MANDISA KETEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
45 KENMORE AVE APT 3, NEWARK, NJ 07106-1048
(973) 953-8152
Mailing address
45 KENMORE AVE APT 3, NEWARK, NJ 07106-1048
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NJ
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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