# BIG VALLEY MIDWIVES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386156164
- **Authorized official:** BROOKE N MYUNG LM (PARTNER)
- **Authorized official phone:** (209) 521-7981

## Contact information

- **Practice address:** 509 13TH ST STE 2, MODESTO, CA 95354-2444
- **Practice address phone:** (209) 521-7981
- **Mailing address:** 509 13TH ST STE 2, MODESTO, CA 95354-2444
- **Mailing address phone:** (209) 521-7981
- **Mailing address fax:** (209) 336-6418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2017
- **Last updated:** 09/18/2018