Individual
MRS. EMILIE ANN SOUTHWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7266 BLACKTON DR, LA MESA, CA 91941-7560
(805) 714-5175
Mailing address
7266 BLACKTON DR, LA MESA, CA 91941-7560
(805) 714-5175
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
12773
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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