Individual
KOURTNEE ANN NICOLE STATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED BIRTHDOULA
Contact information
Practice address
516 ORCHID LN, HAVELOCK, NC 28532-2164
(805) 668-9912
Mailing address
516 ORCHID LN, HAVELOCK, NC 28532-2164
(805) 668-9912
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
9404-13
CA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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