Individual
TASHA WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WASHINGTON ST # 300, LYNN, MA 01901-1613
(781) 913-8742
Mailing address
700 WASHINGTON ST # 300, LYNN, MA 01901-1613
(781) 913-8742
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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