Individual
MIREILLE GAYLE CERVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
701 MISSION ST, SANTA CRUZ, CA 95060-3614
(831) 566-1167
Mailing address
101 HAGEMANN AVE, SANTA CRUZ, CA 95062-2212
(831) 566-1167
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
580
CA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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