Individual
MICHELLE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 MARTIN CIR APT 301, PETALUMA, CA 94952-7314
(530) 906-6646
Mailing address
909 MARTIN CIR APT 301, PETALUMA, CA 94952-7314
(530) 906-6646
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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