Individual
MRS. JOELISHA RAY'VON FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
7901 NE 10TH ST STE B101, MIDWEST CITY, OK 73110-3653
(405) 795-3733
Mailing address
1809 S GRAND BLVD, OKLAHOMA CITY, OK 73108-4232
(918) 873-0250
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OK
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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