Edouard Antonio Latortue

Individual provider Active NPI Doula · Providence, RI

NPI 1124773775 · NPPES record last updated Feb 12, 2022

Key facts

NPI
1124773775
Entity type
Individual (NPI type 1)
Primary specialty
Doula 374J00000X
Practice address
319 Elmwood Ave Apt 4C
Providence, RI 02907-1579
Phone
(401) 688-4105
NPI assigned
Feb 12, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Yes

Addresses

Primary practice location

319 Elmwood Ave Apt 4C
Providence, RI 02907-1579

Mailing address

319 Elmwood Ave Apt 4C
Providence, RI 02907-1579
Phone (401) 688-4105

Other providers in Providence, RI

All providers in Providence, RI · Doula in Rhode Island

Sources for this page

Verify at the official NPI Registry.