Individual
MARILYN MARIE PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
16051 KASOTA RD, APPLE VALLEY, CA 92307-2215
(760) 946-8169
(760) 946-8875
Mailing address
19245 LENCA RD, APPLE VALLEY, CA 92307-4705
(760) 946-5217
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NMW 923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW923
MID-WIFERY LICENSE
CA
Enumeration date
09/04/2006
Last updated
07/08/2007
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