Individual
COLEY S DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
26128 OAKCREEK UNION DR, UNIT C, MURRIETA, CA 92563-8317
(951) 662-1906
Mailing address
26128 OAKCREEK UNION DR, UNIT C, MURRIETA, CA 92563-8317
(951) 662-1906
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
06110009
CA
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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