Individual
MISS MARISSA NICOLE MIGNONE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
9705 HWY 267, SUITE 5, TRUCKEE, CA 96161-9616
(805) 423-4274
Mailing address
PO BOX 1349, TRUCKEE, CA 96160-1349
(805) 423-4274
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99499
N/A
—
Enumeration date
06/01/2022
Last updated
06/01/2022
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