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Individual

ISIS FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
640 W COTATI AVE, COTATI, CA 94931-5101
(510) 593-0847
Mailing address
640 W COTATI AVE, COTATI, CA 94931-5101
(510) 593-0847

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
CA

Other

Enumeration date
01/17/2025
Last updated
01/17/2025
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Product
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