Individual provider · NPI-1

Kei Gravesande

Doula · East Orange, NJ

NPI number1821877473
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1821877473
Entity type
Individual (NPI-1)
Name
Kei Gravesande
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2023
Certification date
Sep 23, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374J00000X Doula––Yes

Practice location

612 Springdale Ave
East Orange, NJ 07017-2011

Phone 862-520-9097

Mailing address

612 Springdale Ave
East Orange, NJ 07017-2011

Phone 862-520-9097

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