Individual
TAKOTA SICAIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3228 RAMIE LN, WHITE CITY, OR 97503-1714
(541) 727-1240
Mailing address
3228 RAMIE LN, WHITE CITY, OR 97503-1714
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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