Individual
MS. KE'NESHA SOPHIA NICOLE MATTOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1366 AUTUMN ORCHARD LOOP, ALEXANDRIA, LA 71303-5070
(318) 451-2282
Mailing address
3401 GOVERNMENT STREET, #6871, ALEXANDRIA, LA 71307-6871
(318) 451-2282
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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