Individual
SHAYVONNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 NORFOLK ST APT 2A, NEWARK, NJ 07103-3168
(973) 878-5378
Mailing address
183 NORFOLK ST APT 2A, NEWARK, NJ 07103-3168
(973) 878-5378
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NJ
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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