NPI 1114520665
Joelisha Ray'Von Fairbanks, DOULA
Practice location
- Address
- 7901 NE 10th St STE B101, Midwest City, OK 73110-3653
- Phone
- (405) 795-3733
- Mailing address
- 1809 S Grand Blvd, Oklahoma City, OK 73108-4232
Registered specialties
Doula
Primary
Registry record
- NPI
- 1114520665
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Nov 2020
- Record last updated
- 18 Nov 2020
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.