Individual
MIA G CARLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
2906 ELLSWORTH ST, BERKELEY, CA 94705-1912
(510) 703-0970
Mailing address
2906 ELLSWORTH ST, BERKELEY, CA 94705-1912
(510) 703-0970
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
374J00000X
CA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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