Individual
TAIJA REVERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 ROEL ST, RANDOLPH, MA 02368-4117
(857) 266-9403
Mailing address
867 BOYLSTON ST FL 5, BOSTON, MA 02116-2774
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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