NPI 1104414069
Shani Mandisa Ketema, DOULA
Practice location
- Address
- 45 Kenmore Ave APT 3, Newark, NJ 07106-1048
- Phone
- (973) 953-8152
Registered specialties
Doula
Primary
Registry record
- NPI
- 1104414069
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jan 2021
- Record last updated
- 6 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.