Individual
TY'ITHREEHA VIOLET EILEEN ALLEN COLEGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1473 GAVIN LN, MCKINLEYVILLE, CA 95519-4402
(707) 496-9971
Mailing address
1473 GAVIN LN, MCKINLEYVILLE, CA 95519-4402
(707) 496-9971
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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