Organization
RAICES MATERNAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEL MARTHA GOVEA CLD (OWNER)
(734) 743-1102
Entity
Organization
Contact information
Practice address
11760 JONKER WAY, HOLLAND, MI 49424-7619
(734) 743-1102
Mailing address
11760 JONKER WAY, HOLLAND, MI 49424-7619
(734) 743-1102
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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