Individual
DARA AICKLEN DESOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
4009 MIRA COSTA ST, OCEANSIDE, CA 92056-4611
(858) 699-2710
Mailing address
4009 MIRA COSTA ST, OCEANSIDE, CA 92056-4611
(858) 699-2710
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
772
CA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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