Individual
MS. SUSAN GUMPERT PELICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
21024 COUNTY ROAD 95, WOODLAND, CA 95695-9315
(530) 713-1131
Mailing address
21024 COUNTY ROAD 95, WOODLAND, CA 95695-9315
(530) 668-7940
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NMW008500
—
CA
Enumeration date
02/15/2007
Last updated
07/09/2007
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