Individual
RAE DENISE JOHNSON-BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
1442 GLEN MOORE CIR, LANCASTER, PA 17601-4030
(717) 471-0668
Mailing address
1442 GLEN MOORE CIR, LANCASTER, PA 17601-4030
(717) 471-0668
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENNSYLVANIIA
—
PA
Enumeration date
01/01/2015
Last updated
01/01/2015
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