Individual
MS. IFETAYO JACQUELINE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CMT, CBA
Contact information
Practice address
8 CORDGRASS LOOP, BEAUFORT, SC 29907-1714
(843) 271-1923
Mailing address
8 CORDGRASS LOOP, BEAUFORT, SC 29907-1714
(843) 271-1923
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
08/06/2011
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