Individual
MRS. RACHEL KELLY VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 SHENANDOAH AVE, CHARLOTTE, NC 28205-6945
(704) 819-6495
Mailing address
3124 SHENANDOAH AVE, CHARLOTTE, NC 28205-6945
(704) 819-6495
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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