Individual
CHANEL SHOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, DOULA
Contact information
Practice address
2609 W DARREL RD, PHOENIX, AZ 85041-6460
(503) 964-1902
Mailing address
2609 W DARREL RD, PHOENIX, AZ 85041-6460
(503) 964-1902
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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