Tina Black Valid NPI
Individual provider · Doula · Kelso, WA
- NPI
- 1083982045
- Type
- Individual (Type 1)
- Primary specialty
- Doula
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 374J00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Practice location
210 Sparks Dr
Kelso, WA 98626-1818
(360) 431-8275