Organization
THE INDI WOMENS CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKIA PATTERSON BSN, MCD (CEO)
(614) 817-4160
Entity
Organization
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(510) 768-8433
Mailing address
5960 S LAND PARK DR # 1409, SACRAMENTO, CA 95822-3313
(510) 768-8433
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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