Organization
INJOYABLE BIRTH MIDWIFERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PENA CPM, LM (MIDWIFE)
(480) 710-5665
Entity
Organization
Contact information
Practice address
1220 N SPENCER STE 200, MESA, AZ 85203-4300
(480) 710-5665
(480) 418-3366
Mailing address
1220 N SPENCER STE 200, MESA, AZ 85203-4300
(480) 710-5665
(480) 418-3366
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM187
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM187
AZ DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
10/29/2014
Last updated
06/11/2015
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