Organization
LAVENDER MOON MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M KAZMIER CNM (FOUNDER/MIDWIFE)
(619) 955-9690
Entity
Organization
Contact information
Practice address
2725 E EVANS RD, SAN DIEGO, CA 92106-6066
(619) 955-9690
Mailing address
2725 E EVANS RD, SAN DIEGO, CA 92106-6066
(619) 955-9690
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW 1992
CA
Other
Enumeration date
03/10/2014
Last updated
07/31/2015
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