Individual
JESSICA HOLLY LICHTIG-GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
11885 FROND RD, TRUCKEE, CA 96161-2153
(530) 574-8030
Mailing address
11885 FROND RD, TRUCKEE, CA 96161-2153
(530) 574-8030
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
CA
374J00000X
Doula
—
NV
Other
Enumeration date
02/27/2018
Last updated
03/17/2018
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