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Organization

EARTHSIDE MATERNAL CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMEEKA HICKS RN (OWNER)
(818) 974-3993
Entity
Organization

Contact information

Practice address
14301 ADDISON ST APT 12, SHERMAN OAKS, CA 91423-1866
(818) 974-3993
Mailing address
14301 ADDISON ST APT 12, SHERMAN OAKS, CA 91423-1866
(818) 974-3993

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163WL0100X
Lactation Consultant (Registered Nurse)
163WM0102X
Maternal Newborn Registered Nurse
163WW0101X
Ambulatory Women's Health Care Registered Nurse
374J00000X
Doula

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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