Individual
SERENA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WILDWOOD AVE, CAMDEN, NJ 08103-2834
(609) 790-7388
Mailing address
1500 WILDWOOD AVE, CAMDEN, NJ 08103-2834
(609) 790-7388
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NJ
374J00000X
Doula
—
NY
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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