Individual
KANIYA SAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 BRADHURST AVE APT 11, NEW YORK, NY 10039-1408
(510) 798-1013
Mailing address
192 BRADHURST AVE APT 11, NEW YORK, NY 10039-1408
(510) 798-1013
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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