Individual
KAYLASTARASIA JOSETTE EBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
324 27TH AVE, ASTORIA, NY 11102-4863
(347) 870-9890
Mailing address
324 27TH AVE APT 14G, ASTORIA, NY 11102-4880
(347) 870-9890
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
ASDS1320
NY
Other
Enumeration date
02/06/2025
Last updated
04/14/2025
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