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1174981229
KRISTEN PARK
BERKELEY, CA
NPI
1174981229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CA 236164)
Enumeration Date
2016-02-03
Last Update Date
2024-05-08
Business Address
KRISTEN PARK
2404 DANA ST APT B
BERKELEY, CA 94704-2574
Phone number: 408-636-8431
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Mailing Address
KRISTEN PARK
1100 VETERANS BLVD
REDWOOD CITY, CA 94063-2037
Phone number:
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