Organization
SIERRA HOMEBIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANYA EMELIA GONSHOROWSKI LM (LICENSED MIDWIFE)
(530) 205-8742
Entity
Organization
Contact information
Practice address
10449 NO NAME DR, GRASS VALLEY, CA 95945-4509
(530) 205-8742
Mailing address
10449 NO NAME DR, GRASS VALLEY, CA 95945-4509
(530) 205-8742
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM336
CA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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