Individual
MRS. DEANNA MICHELLE MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
789 ESTUDILLO AVE, SAN LEANDRO, CA 94577-5109
(510) 421-6180
Mailing address
789 ESTUDILLO AVENUE, SAN LEANDRO, CA 94577
(510) 421-6180
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM439
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
05/28/2015
Last updated
05/28/2015
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