Organization
MELANCENTRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADJA RAE GONZALES (FULL SPECTRUM DOULA)
(916) 251-6011
Entity
Organization
Contact information
Practice address
6113 NORTHERN LIGHTS WAY, ROCKLIN, CA 95765-4235
(916) 251-6811
Mailing address
PO BOX 463, ROCKLIN, CA 95677-0463
(916) 251-6811
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
07/01/2024
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