Individual
TIFFANY LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 W 9TH ST, SANTA ROSA, CA 95401-5350
(707) 326-7206
Mailing address
922 W 9TH ST, SANTA ROSA, CA 95401-5350
(707) 326-7206
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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