Individual
KENISHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 FLEET ST, BRADDOCK, PA 15104-1153
(412) 952-1373
Mailing address
310 FLEET ST, BRADDOCK, PA 15104-1153
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
18649
PA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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