Organization
MAMA T. HOLISTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE KELLY SLADE (OWNER)
(510) 697-2335
Entity
Organization
Contact information
Practice address
271 FOX MEADOW CT, TRACY, CA 95376-5376
(510) 697-2335
Mailing address
271 FOX MEADOW CT, TRACY, CA 95376-5376
(510) 697-2335
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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