Individual
NICOLE DMITRASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 E BELLE AVE, BELLEVILLE, IL 62221-4122
(618) 691-4453
Mailing address
2017 E BELLE AVE, BELLEVILLE, IL 62221-4122
(618) 691-4453
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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