Organization
FABULOUS BIRTH SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON WONDERLAND BACICH CLC (FOUNDING DIRECTOR AND DOULA)
(562) 774-3289
Entity
Organization
Contact information
Practice address
2655 8TH AVE, APT 4N, NEW YORK, NY 10030-1536
(562) 774-3289
Mailing address
2655 8TH AVE, APT 4N, NEW YORK, NY 10030-1536
(562) 774-3289
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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