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1538810197
NYASHA WALLER
BROOKLYN, NY
NPI
1538810197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: NY 002097)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
NYASHA WALLER CM, LM
188 THROOP AVE STE 1R
BROOKLYN, NY 11206-5331
Phone number: 347-395-4082
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Mailing Address
NYASHA WALLER CM, LM
4719 BEVERLEY RD
BROOKLYN, NY 11203-5227
Phone number:
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