Ketema, Shani Mandisa

Ketema, Shani Mandisa is an individual health care provider with primary practice located at 45 Kenmore Ave Apt 3 , Newark NJ 07106-1048. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Ketema, Shani Mandisa can be contacted via phone (973) 953-8152.

Contact Information

Primary practice address
45 Kenmore Ave Apt 3 Newark NJ 07106-1048
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X New Jersey

Profile Details

NPI number 1104414069
LBN Legal business name Ketema, Shani Mandisa
Credentials DOULA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2021
Last updated Jan 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers