Individual
ALEXA TAYLOR THIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3652 CEDAR VALLEY RD, PETOSKEY, MI 49770-3524
(906) 430-8163
Mailing address
3652 CEDAR VALLEY RD, PETOSKEY, MI 49770-3524
(906) 430-8163
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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