Individual
BREYONNA NICHELLE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
4562 W PALO ALTO AVE APT 101, FRESNO, CA 93722-2920
(510) 780-6282
Mailing address
4562 W PALO ALTO AVE APT 101, FRESNO, CA 93722-2920
(510) 780-6282
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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