Individual
LANITA CHANTELOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 MARYLAND AVE E, SAINT PAUL, MN 55106-2527
(612) 964-6984
Mailing address
741 MARYLAND AVE E, SAINT PAUL, MN 55106-2527
(612) 964-6984
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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