Individual
LACI MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 S FREMONT AVE, ALHAMBRA, CA 91801-3024
(626) 628-0205
(626) 243-2628
Mailing address
8632 IAN WAY, SANTEE, CA 92071-4469
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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