Provider Demographics
NPI:1215783634
Name:WALKER, TENIQUA LAQUI (DOULA)
Entity type:Individual
Prefix:MS
First Name:TENIQUA
Middle Name:LAQUI
Last Name:WALKER
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 1:625 CLIFFORD AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-5781
Mailing Address - Country:US
Mailing Address - Phone:585-551-0839
Mailing Address - Fax:
Practice Address - Street 1:625 CLIFFORD AVE APT 411
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-5781
Practice Address - Country:US
Practice Address - Phone:585-551-0839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula