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Organization

MOTHER OF LIFE DOULA

Active
Other names
Mother Of Life Doula
Organization subpart
No

Provider details

NPI number
Authorized official
MISS BONITA TIFFANY WALL (CEO)
(202) 607-9765
Entity
Organization

Contact information

Practice address
324 17TH ST NE, WASHINGTON, DC 20002-6618
(202) 607-9765
Mailing address
324 17TH ST NE, WASHINGTON, DC 20002-6618
(202) 607-9765

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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