Individual
LYNNETTE WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.W.
Contact information
Practice address
500 W. HOSPITAL RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW877
LICENSE
CA
Enumeration date
10/25/2006
Last updated
03/10/2021
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