Individual
TATIKQUA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HUMBOLDT AVE APT 306, DORCHESTER, MA 02121-1258
(351) 204-3097
Mailing address
140 HUMBOLDT AVE APT 306, DORCHESTER, MA 02121-1258
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MA
376J00000X
Homemaker
—
—
Other
Enumeration date
11/01/2023
Last updated
12/18/2023
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