Organization
OPTIMOM BIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHA MARTINEZ (DIRECTOR)
(857) 540-1841
Entity
Organization
Contact information
Practice address
28 CEMETERY ST, PROVIDENCE, RI 02904-1804
(857) 540-1841
Mailing address
434 GEORGETOWNE DR, BOSTON, MA 02136-1021
(857) 540-1841
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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