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Organization
MIDORI NISHIMURA M D IBCLC FAMILY MEDICINE AND LACTATION INC
Active
Organization
MIDORI NISHIMURA M D IBCLC FAMILY MEDICINE AND LACTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J PONTERIO (CONSULTANT)
(650) 341-6240
Entity
Organization
Contact information
Practice address
1704 MIRAMONTE AVE, SUITE 3, MOUNTAIN VIEW, CA 94040-3766
(650) 996-1943
(408) 283-2563
Mailing address
1704 MIRAMONTE AVE, SUITE 3, MOUNTAIN VIEW, CA 94040-3766
(650) 996-1943
(408) 283-2563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A61183
CA
Other
Enumeration date
05/12/2007
Last updated
07/25/2007
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