Organization
BLOOM WATERBIRTH AND WELLNESS CENTER
Active
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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