Individual
DELENA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
5604 BOGGS DR, STONE MOUNTAIN, GA 30087-5742
(616) 477-8538
Mailing address
5604 BOGGS DR, STONE MOUNTAIN, GA 30087-5742
(616) 477-8538
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MI
Enumeration date
09/11/2020
Last updated
09/11/2020
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