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Organization

ITHIOPIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ITHOPIA MCKINNEY (EXECUTIVE DIRECTOR)
(279) 465-1236
Entity
Organization

Contact information

Practice address
10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670
(279) 465-1236
Mailing address
10436 COLOMA RD # 22, RANCHO CORDOVA, CA 95670-2157
(279) 465-1236

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
374J00000X
Doula

Other

Enumeration date
03/11/2025
Last updated
03/11/2025
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