Provider Demographics
NPI:1356103840
Name:AIYEGUNLE, ARIEL DOMINIQUE (DOULA)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:DOMINIQUE
Last Name:AIYEGUNLE
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 1:7941 EWING AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2805
Mailing Address - Country:US
Mailing Address - Phone:763-353-3109
Mailing Address - Fax:
Practice Address - Street 1:7941 EWING AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2805
Practice Address - Country:US
Practice Address - Phone:763-353-3109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula