Individual
MS. TISHIKA M WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERINATAL DOULA
Contact information
Practice address
383 N PEARL ST, BRIDGETON, NJ 08302-1501
(856) 343-5536
Mailing address
383 N PEARL ST, BRIDGETON, NJ 08302-1501
(856) 343-5536
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
W46417447453852
NJ
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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