Provider Demographics
NPI:1710527320
Name:TAFARI, SESHETA (DOULA)
Entity Type:Individual
Prefix:
First Name:SESHETA
Middle Name:
Last Name:TAFARI
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 WINDHAM AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2983
Mailing Address - Country:US
Mailing Address - Phone:901-440-9550
Mailing Address - Fax:
Practice Address - Street 1:816 WINDHAM AVE APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2983
Practice Address - Country:US
Practice Address - Phone:901-440-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula