Organization
CANNAMOMMY HOLISTIC BOTANICALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY USBORNE BRUCE DOULA (CEO)
(970) 471-9251
Entity
Organization
Contact information
Practice address
824 CRISSY WAY, FORTUNA, CA 95540-3152
(970) 471-9251
Mailing address
824 CRISSY WAY, FORTUNA, CA 95540-3152
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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