Organization
DOULA COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICAH LIVELY (OWNER)
(951) 394-3410
Entity
Organization
Contact information
Practice address
440 WELLESLEY DR APT 108, CORONA, CA 92879-5949
(951) 394-3410
Mailing address
440 WELLESLEY DR APT 108, CORONA, CA 92879-5949
(951) 394-3410
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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