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Organization
CANNAMOMMY.ORG, INC
Active
Organization
CANNAMOMMY.ORG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY USBORNE BRUCE (EXECUTIVE DIRECTOR)
(970) 471-9241
Entity
Organization
Contact information
Practice address
824 CRISSY WAY, FORTUNA, CA 95540-3152
(970) 471-9241
Mailing address
824 CRISSY WAY, FORTUNA, CA 95540-3152
(970) 471-9241
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
176B00000X
Midwife
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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