Organization
BIRTHWISE MATERNITY CARE LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL PETERSON CPM, LDEM (MIDWIFE)
(801) 928-9089
Entity
Organization
Contact information
Practice address
360 S FORT LN STE 1B, LAYTON, UT 84041-5700
(801) 928-9089
Mailing address
360 S FORT LN STE 1B, LAYTON, UT 84041-5700
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
88073083400
UT
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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