Most Relevant Information
Provider Data
| NPI Number: | 1003647975 |
| Provider Name: | SUSAN POKORNY CERTIFIED DOULA |
| Entity Type: | Individual |
| Taxonomy Code: | 374J00000X |
| Specialty: | Doula |
| License Number: | 1470802 |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
1042 S SPRING ST
PORT WASHINGTON
WI
530742418
Practice Location Phone/Fax
| Phone: | 2627513463 |
| Fax: |
Provider Mailing Location
3929 WINDEMERE DR
COLGATE
WI
530179142
Provider Mailing Phone/Fax
| Phone: | 2627513463 |
| Fax: |