Individual
MARY LOU O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1028 LOMA DR, HERMOSA BEACH, CA 90254-4244
(310) 376-5647
Mailing address
1028 LOMA DR, HERMOSA BEACH, CA 90254-4244
(310) 376-5647
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW490
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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