Provider Demographics
NPI:1487248142
Name:BLANKS, ZAKIESHA CHAMALE (DOULA)
Entity type:Individual
Prefix:MRS
First Name:ZAKIESHA
Middle Name:CHAMALE
Last Name:BLANKS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:ZAKIESHA
Other - Middle Name:CHAMALE
Other - Last Name:LASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:347 SIMPSON ST
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3417
Mailing Address - Country:US
Mailing Address - Phone:678-677-3090
Mailing Address - Fax:
Practice Address - Street 1:347 SIMPSON ST
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3417
Practice Address - Country:US
Practice Address - Phone:678-677-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula