Provider Demographics
NPI:1942510904
Name:KEROLA, AMANDA ROSE (DOULA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ROSE
Last Name:KEROLA
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 1:2814 MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2526
Mailing Address - Country:US
Mailing Address - Phone:218-721-2995
Mailing Address - Fax:
Practice Address - Street 1:2814 MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2526
Practice Address - Country:US
Practice Address - Phone:218-721-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist