Individual
JEKISHA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 RIVERCAMP ST, CLAYTON, NC 27527-5146
(540) 273-5923
Mailing address
105 RIVERCAMP ST, CLAYTON, NC 27527-5146
(540) 273-5923
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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