Individual
NICOLE ATHENA LA COUR-WORDLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 MANITOBA ST, PLAYA DEL REY, CA 90293-8011
(310) 430-8010
Mailing address
431 MANITOBA ST, PLAYA DEL REY, CA 90293-8011
(310) 430-8010
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
0000
CA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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