Provider Demographics
NPI:1619861986
Name:MONIC, QUETISHA (DOULA)
Entity type:Individual
Prefix:
First Name:QUETISHA
Middle Name:
Last Name:MONIC
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:QUETISHA
Other - Middle Name:
Other - Last Name:MONIC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:7937 DELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7937 DELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706-1703
Practice Address - Country:US
Practice Address - Phone:804-566-0499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula