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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN BEARD CNM (CERTIFIED NURSE MIDWIFE)
(209) 735-5828
Entity
Organization
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5828
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
1851
CA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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