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Organization

BIRTHWISE MATERNITY CARE, LC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANELL PETERSON LDEM, CPM (MEMBER)
(801) 928-9089
Entity
Organization

Contact information

Practice address
360 S FORT LN, SUITE 1B, LAYTON, UT 84041-4259
(801) 928-9089
(801) 546-3207
Mailing address
360 S FORT LN, SUITE 1B, LAYTON, UT 84041-4259
(801) 928-9089
(801) 546-3207

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
6164811-3400
UT

Other

Enumeration date
05/17/2007
Last updated
02/14/2014
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