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Organization

BLVK2ROOTS HOLISTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAMON KINARD DOULA,MSCNM,CHHC,CWC (OWNER)
(628) 333-0585
Entity
Organization

Contact information

Practice address
937 INTERNATIONAL BLVD, OAKLAND, CA 94606-3727
(628) 333-0585
Mailing address
937 INTERNATIONAL BLVD, OAKLAND, CA 94606-3727
(628) 333-0585

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
374J00000X
Doula
Primary

Other

Enumeration date
02/21/2024
Last updated
02/21/2024
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