Individual
CHATAQUA DENEAN ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 TRINITY RD APT H, CHARLOTTE, NC 28216-2920
(980) 318-0092
Mailing address
9701 TRINITY RD APT H, CHARLOTTE, NC 28216-2920
(980) 318-0092
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NC
Other
Enumeration date
08/01/2021
Last updated
08/03/2021
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