Individual
IDRISSA TYISHA EMILY RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 OXFORD ST APT 2B, NEWARK, NJ 07105-5732
(862) 220-6559
Mailing address
9 OXFORD ST APT 2B, NEWARK, NJ 07105-5732
(862) 220-6559
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NJ
Other
Enumeration date
05/09/2025
Last updated
05/22/2025
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