Organization
SHANTI MAMA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA NICOLE YOUNG (OWNER)
(978) 808-9297
Entity
Organization
Contact information
Practice address
1 MILL ST, SUITE 244, BURLINGTON, VT 05401-1530
(978) 808-9297
Mailing address
1 MILL ST, SUITE 244, BURLINGTON, VT 05401-1530
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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