Individual
DE'JA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 MISTY OAKS DR APT 1512, CHARLOTTE, NC 28269-2423
(843) 468-4032
Mailing address
5210 MISTY OAKS DR APT 1512, CHARLOTTE, NC 28269-2423
(843) 468-4032
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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