Individual
MKENNA ACHELLE VANWINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W MARLETTE ST, IONE, CA 95640-9798
(916) 236-8718
Mailing address
615 W MARLETTE ST, IONE, CA 95640-9798
(916) 236-8718
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
7239-13
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723913
DOULA
CA
Enumeration date
09/22/2025
Last updated
09/22/2025
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