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Individual

MRS. OLOYA PHILAE' TYEHIMBA-FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DOULA

Contact information

Practice address
623 SHADDICK DR, ANTIOCH, CA 94509-5044
(510) 691-5169
Mailing address
623 SHADDICK DR, ANTIOCH, CA 94509-5044
(510) 691-5169

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
CA
175M00000X
Lay Midwife
CA
374J00000X
Doula
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99499
CA
05
99501
CA
05
99502
CA
Enumeration date
10/05/2017
Last updated
10/05/2017
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