Individual
LACIE TUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 BEAN CREEK RD, SCOTTS VALLEY, CA 95066-3322
(603) 660-7049
Mailing address
1900 BEAN CREEK RD, SCOTTS VALLEY, CA 95066-3322
(603) 660-7049
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
PA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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