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Individual

DESTINEE BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10270 E TARON DR APT 240, ELK GROVE, CA 95757-8244
(916) 895-4900
Mailing address
4905 STOCKTON BLVD # 101, SACRAMENTO, CA 95820-5405
(916) 895-4900

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary

Other

Enumeration date
06/15/2022
Last updated
12/05/2023
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