Individual
CARRIE VISALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
5606 BRAVO CT, SAN DIEGO, CA 92124-1313
(949) 282-7073
Mailing address
5606 BRAVO CT, SAN DIEGO, CA 92124-1313
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
14850
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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