Individual
MRS. TIYANA LANEE CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
257 HARRIS LOOP, DALLAS, GA 30157-8202
(559) 326-4787
Mailing address
257 HARRIS LOOP, DALLAS, GA 30157-8202
(559) 326-4787
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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