Organization
TREE OF LIFE MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE A JOHNSTUN LM, CPM, LDEM (OWNER)
(505) 504-4519
Entity
Organization
Contact information
Practice address
2224 LAS BRISAS CT SE, RIO RANCHO, NM 87124
(505) 796-6890
Mailing address
2224 LAS BRISAS CT SE, RIO RANCHO, NM 87124
(505) 796-6890
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
09063R
NM
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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