Individual
MRS. TAWANNA LEONA SHANELL NOTTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
1317 EDGEWATER DR STE 2019, ORLANDO, FL 32804-6350
(754) 779-5677
Mailing address
PO BOX 121453, FORT LAUDERDALE, FL 33312-0025
(754) 779-5677
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
202303048
FL
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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