Individual
BRANDIE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 ALT 19 S APT 207, PALM HARBOR, FL 34683-5932
(181) 350-6025
Mailing address
455 ALT 19 S APT 207, PALM HARBOR, FL 34683-5932
(181) 350-6025
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
4002-29
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4002-29
MADRIELLA DOULA CERTIFICATION
CA
Enumeration date
03/15/2021
Last updated
03/15/2021
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