Provider Demographics
NPI:1649737347
Name:REYNOLDS-ADAMS, RAYMONDA ANYCE (CLC, DOULA)
Entity Type:Individual
Prefix:
First Name:RAYMONDA
Middle Name:ANYCE
Last Name:REYNOLDS-ADAMS
Suffix:
Gender:F
Credentials:CLC, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 MAIN ST APT 507
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2155
Mailing Address - Country:US
Mailing Address - Phone:716-948-5252
Mailing Address - Fax:
Practice Address - Street 1:1219 MAIN ST APT 507
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2155
Practice Address - Country:US
Practice Address - Phone:716-948-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula