Organization
IVY JOEVA
Active
Other names
Ivy Gullickson
Organization subpart
No
Provider details
NPI number
Authorized official
IVY JOEVA (BIRTH DOULA)
(310) 634-8192
Entity
Organization
Contact information
Practice address
1518 19TH ST APT C, SANTA MONICA, CA 90404-3437
(310) 634-8192
Mailing address
1518 19TH ST APT C, SANTA MONICA, CA 90404-3437
(310) 634-8192
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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