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Organization
SACRED PASSAGE MIDWIFERY
Active
Organization
SACRED PASSAGE MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMITSOI KHAILYLAH JORDAN LM (OWNER/MIDWIFE)
(305) 340-1189
Entity
Organization
Contact information
Practice address
57 NE 44TH ST, MIAMI, FL 33137-3413
(305) 340-1189
Mailing address
57 NE 44TH ST, MIAMI, FL 33137-3413
(305) 340-1189
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
246
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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