Individual
AMY LORRITA BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
910 ASTER ST, ESCONDIDO, CA 92027-1648
(760) 390-0009
Mailing address
PO BOX 461014, ESCONDIDO, CA 92046-1014
(760) 390-0009
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
LM494
CA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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