Individual
AIREAL BRUINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
199 WEST AVE APT 2L, PAWTUCKET, RI 02860-3769
(323) 842-6515
Mailing address
199 WEST AVE APT 2L, PAWTUCKET, RI 02860-3769
(323) 842-6515
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
3115526
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-4501550
NA
RI
Enumeration date
02/13/2022
Last updated
02/13/2022
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