Organization
TAOS HOMEBIRTH & MIDWIFERY LLC
Active
Organization
TAOS HOMEBIRTH & MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE MAILLIS LM, CPM (MIDWIFE LM, CPM)
(575) 751-4690
Entity
Organization
Contact information
Practice address
5540 NDCBU, TAOS, NM 87571-6122
(575) 770-1470
(575) 751-4690
Mailing address
5540 NDCBU, TAOS, NM 87571-6122
(575) 770-1470
(575) 751-4690
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
09060R
NM
176B00000X
Midwife
09064R
NM
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
Update your record
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