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Individual

MRS. ASHLEE NICOLE-MORTON SOURAPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
22672 LAMBERT STREET, SUITE 611, LAKE FOREST, CA 92630
(714) 261-1458
(949) 954-8398
Mailing address
22672 LAMBERT STREET, SUITE 611, LAKE FOREST, CA 92630
(714) 261-1458
(949) 954-8398

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM577
CA

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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