Individual
EBONIE KIERRA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
6302 GABRIELLE WAY, DAVENPORT, IA 52807-3963
(916) 949-8757
Mailing address
6302 GABRIELLE WAY, DAVENPORT, IA 52807-3963
(916) 949-8757
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13718
IA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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