Individual provider · NPI-1
Jolona Anderson-Martin
Doula · Chicago, IL
NPI number1982476396
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1982476396
- Entity type
- Individual (NPI-1)
- Name
- Jolona Anderson-Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2023
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
9430 S Saint Lawrence AveChicago, IL 60619-7425
Phone 616-334-1776
Mailing address
9430 S Saint Lawrence AveChicago, IL 60619-7425
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