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Organization
TOURMALINE BIRTH AND WELLNESS COLLECTIVE
Active
Organization
TOURMALINE BIRTH AND WELLNESS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARAL SHABAK LM, CPM (OWNER)
(714) 585-6197
Entity
Organization
Contact information
Practice address
4545 FANUEL ST, SAN DIEGO, CA 92109-2904
(714) 585-6197
Mailing address
4545 FANUEL ST, SAN DIEGO, CA 92109-2904
(714) 585-6197
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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