Organization
TOURMALINE BIRTH AND WELLNESS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARAL SHABAK LM, CPM (OWNER)
(714) 585-6197
Entity
Organization
Contact information
Practice address
4545 FANUEL ST, SAN DIEGO, CA 92109-2904
(714) 585-6197
Mailing address
4545 FANUEL ST, SAN DIEGO, CA 92109-2904
(714) 585-6197
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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