Individual
MRS. ELIZABETH BRADLEY GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
118 LAURENT, NEWPORT BEACH, CA 92660-8302
(562) 685-6803
Mailing address
118 LAURENT, NEWPORT BEACH, CA 92660-8302
(562) 685-6803
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
07/19/2024
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