Individual
MICAH LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 WELLESLEY DR APT 108, CORONA, CA 92879-5949
(225) 317-0999
Mailing address
440 WELLESLEY DR APT 108, CORONA, CA 92879-5949
(225) 317-0999
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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