| NPI | 1700305158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE JUSTINE WISNER Licensed Midwife 916-668-9467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 176B00000X Midwife |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-01-02 |