Organization
MAHOGANY MATERNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI NICOLE BRIEN CD(DONA) CLS, LCCE (OWNER)
(574) 383-1743
Entity
Organization
Contact information
Practice address
22500 LINCOLN WAY WEST, SOUTH BEND, IN 46628
(574) 383-1743
Mailing address
22500 LINCOLN WAY WEST, SOUTH BEND, IN 46628
(574) 383-1743
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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