Organization
TIDAL DOULA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LOU KOSSILA HAUPERT (DOULA)
(763) 647-0461
Entity
Organization
Contact information
Practice address
3216 DREW AVE N, ROBBINSDALE, MN 55422-3250
(763) 647-0461
Mailing address
3216 DREW AVE N, ROBBINSDALE, MN 55422-3250
(763) 647-0461
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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