Individual
JESSICA ELLEN MAIRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
10449 NO NAME DR, GRASS VALLEY, CA 95945-4509
(925) 457-4787
(530) 274-7655
Mailing address
10449 NO NAME DR, GRASS VALLEY, CA 95945-4509
(925) 457-4787
(530) 274-7655
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM300
CA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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