Individual provider · NPI-1

La Toya Renee Martin, BD, CBE, DFB, CPSTvi

Doula · Wilmington, DE

NPI number1699550822

StatusActive

Last updated in NPPESJan 11, 2024

Details

NPI: 1699550822
Entity type: Individual (NPI-1)
Name: La Toya Renee Martin
Credential: BD, CBE, DFB, CPSTvi
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 28, 2023
Certification date: Jan 11, 2024
Last updated: Jan 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374J00000X	Doula	–	–	Yes
174N00000X	Lactation Consultant, Non-RN	–	–
174H00000X	Health Educator	–	–

Practice location

1600 Rockland Rd
Wilmington, DE 19803-3607

Phone 302-651-6812

Mailing address

761 Bacon Ave Apt G
Dover, DE 19901-2510

Phone 757-405-2329

Other practice locations

640 S State St
Dover, DE 19901-3530

Phone 302-744-7245

100 Wellness Way
Milford, DE 19963-4364

Phone 302-430-5739

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