| NPI | 1639862964 |
|---|---|
| Doing Business As | PROVIDENCE MIDWIFERY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER TERESA MICHELLE DAVIDSON Executive Director, Midwife 650-622-7069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 176B00000X Midwife |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-12-09 |