Individual
JAMIE TENNILLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Contact information
Practice address
4859 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415
(740) 590-9449
Mailing address
11900 HWY 116, GUERNEVILLE, CA 95446-9479
(740) 590-9449
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
717
CA
374J00000X
Doula
—
—
Other
Enumeration date
12/06/2023
Last updated
06/08/2024
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