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Organization

BLOOM WATERBIRTH AND WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HEIDI CHRISTINE MARSHALL LM (CO-OWNER AND LICENSED MIDWIFE)
(707) 671-7476
Entity
Organization

Contact information

Practice address
530 S MAIN ST, UKIAH, CA 95482-4926
(707) 671-7476
(707) 671-7478
Mailing address
530 S MAIN ST, UKIAH, CA 95482-4926
(707) 671-7476
(707) 671-7478

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
263
CA

Other

Enumeration date
10/26/2015
Last updated
10/26/2015
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