Organization
LE GRA BIRTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIEANA CHRISTINE DAVISON LM, CPM (OWNER, LICENSED MIDWIFE)
(951) 397-6264
Entity
Organization
Contact information
Practice address
1885 HOWARD ST N, MAPLEWOOD, MN 55109-4844
(951) 397-6264
(651) 447-7873
Mailing address
1885 HOWARD ST N, MAPLEWOOD, MN 55109-4844
(951) 397-6264
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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