Individual
SHEAMONIQUE ELLIS TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4351 SAN TROPEZ DR, RIVERSIDE, CA 92509
(310) 978-5398
Mailing address
9036 MISSION BLVD # 1001, RIVERSIDE, CA 92509-2816
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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