MRS. Kanisha Lanae Tiedeman, DOULA

NPI #1538856984 in Cordova, Alaska

Provider Information

NPI Number: 1538856984
Entity Type: Individual
Name: MRS. Kanisha Lanae Tiedeman, DOULA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Credential: DOULA
Enumeration Date: Apr 18, 2023
Last Updated: Apr 18, 2023

Practice Location

Address: 6 MILE HARTNEY BAY ROAD
City: Cordova
State: Alaska
ZIP Code: 99574-1275
Phone: (907) 235-9642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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