Individual
MS. KE'NESHA SOPHIA NICOLE MATTOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 GOVERNMENT ST UNIT 6871, ALEXANDRIA, LA 71307-4076
(504) 908-9619
Mailing address
3401 GOVERNMENT ST UNIT 6871, ALEXANDRIA, LA 71307-4076
(504) 908-9619
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/23/2026
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