Individual provider · NPI-1
Domonique Brace
Doula · Lansing, MI
NPI number1629875265
StatusActive
Last updated in NPPESMar 1, 2025
Details
- NPI
- 1629875265
- Entity type
- Individual (NPI-1)
- Name
- Domonique Brace
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2025
- Certification date
- Mar 1, 2025
- Last updated
- Mar 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
3405 Nonette DrLansing, MI 48911-3366
Phone 734-301-9953
Mailing address
3405 Nonette DrLansing, MI 48911-3366
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