Individual
MADELYN SPRING PETERSON CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2 H ST, SAN RAFAEL, CA 94901-1700
(925) 887-5247
Mailing address
560 2ND ST, RICHMOND, CA 94801-2604
(503) 407-1702
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236215
CA
Other
Enumeration date
08/01/2021
Last updated
03/05/2023
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