Individual
BRIANNA DESTINY OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 HAY ST, FAYETTEVILLE, NC 28301-5783
(910) 227-9071
Mailing address
1512 PAISLEY AVE, FAYETTEVILLE, NC 28304-2953
(301) 710-7088
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NC
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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