Organization
MYSTICAL RISINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE A WILSON (DOULA)
(209) 204-3103
Entity
Organization
Contact information
Practice address
908 BURLINGTON DR, MODESTO, CA 95356-1205
(209) 204-3103
Mailing address
908 BURLINGTON DR, MODESTO, CA 95356-1205
(209) 204-3103
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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