Provider Demographics
NPI:1538872775
Name:WAFER, CAMARIA SHAI (FULL SPECTRUM DOULA)
Entity type:Individual
Prefix:MS
First Name:CAMARIA
Middle Name:SHAI
Last Name:WAFER
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1763 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-1448
Mailing Address - Country:US
Mailing Address - Phone:734-307-9691
Mailing Address - Fax:
Practice Address - Street 1:1763 WARWICK AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-1448
Practice Address - Country:US
Practice Address - Phone:734-307-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula