Individual
MRS. LATANYA DENEEN FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
6400 W MAIN ST STE 3K, BELLEVILLE, IL 62223-3806
(314) 896-3868
Mailing address
615 SAINT JOHN DR, BELLEVILLE, IL 62221-3329
(314) 896-3868
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MO
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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