Individual
KELLY RAE NICKEL-DUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17639 SW WOODHAVEN DR, SHERWOOD, OR 97140-7839
(818) 325-7175
Mailing address
17639 SW WOODHAVEN DR, SHERWOOD, OR 97140-7839
(818) 325-7175
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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