MEDICARE: AMANEE REED DOULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1487126611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANEE REED DOULA

Provider Business Mailing Address
First Line	:	5440 N JIM MILLER RD APT 1535
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-1573
Country	:	US
Telephone Number	:	678-769-5339
Fax Number	:

Provider Business Practice Location Address
First Line	:	5440 N JIM MILLER RD APT 1535
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-1573
Country	:	US
Telephone Number	:	678-769-5339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2018
Last Update Date	:	12/28/2018

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Directions to “ AMANEE REED DOULA” Practice Location

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