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Organization
GENESIS BIRTH SERVICES LLC
Active
Organization
GENESIS BIRTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERRIA COFFEE CLC CD CBE CHW MH MA (OWNER)
(717) 970-3009
Entity
Organization
Contact information
Practice address
1307 PARK AVE, #10, WILLIAMSPORT, PA 17701-2610
(717) 970-3009
(717) 970-3009
Mailing address
1307 PARK AVE, #10, WILLIAMSPORT, PA 17701
(717) 970-3009
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
261QC1500X
Community Health Clinic/Center
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
08/27/2021
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