Individual
IVY JO EVA GULLICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 CORONADO ST APT D, VENTURA, CA 93001-5532
(310) 634-8192
Mailing address
29 CORONADO ST APT D, VENTURA, CA 93001-5532
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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