Individual
NEFERTITTI SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 W HUNTINGDON ST, PHILADELPHIA, PA 19132-3623
(267) 235-6464
Mailing address
2217 W HUNTINGDON ST, PHILADELPHIA, PA 19132-3623
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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