Individual
NICOLE BREANNE MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3547 LAKE ISABELLA BLVD, BODFISH, CA 93205-9634
(760) 417-1802
Mailing address
200 FUSSEL ST, BODFISH, CA 93205-9774
(760) 417-1802
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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