NPI 1215573084

Daisy Q Johnson

Practitioner Doula South Holland, IL

Practice location

Address: 1030 E 159th Pl, South Holland, IL 60473-1705
Phone: (708) 288-5618

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1215573084
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2019
Record last updated: 26 Nov 2019

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.