Individual
MARIAH CANDIDA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 E 115TH ST, NEW YORK, NY 10029-2025
(646) 683-6463
Mailing address
103 STERLING ST, BROOKLYN, NY 11225-3318
(413) 461-6205
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
092023-6
NY
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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