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Individual

MARCIA OKAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
9940 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-6443
Mailing address
1665 SCENIC AVE., SUITE 100, COSTA MESA, CA 92626
(310) 782-6278

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
276481
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002764810
MEDI CAL
CA
Enumeration date
07/21/2005
Last updated
12/05/2012
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