Individual
MRS. JUSTINE OCONNELL BACKHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM
Contact information
Practice address
23801 COYOTE CT, TEHACHAPI, CA 93561-9213
(661) 821-0659
(661) 821-0659
Mailing address
23801 COYOTE CT, TEHACHAPI, CA 93561-9213
(661) 821-0659
(661) 821-0659
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM185
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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