Organization
MOTHER EARTH YOGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ANN PECKSKAMP DOULA (BIRTH DOULA)
(508) 789-7718
Entity
Organization
Contact information
Practice address
11257 42ND AVE, PLEASANT PRAIRIE, WI 53158-3842
(508) 789-7718
Mailing address
11257 42ND AVE, PLEASANT PRAIRIE, WI 53158-3842
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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