Organization
FULL BLOOM MIDWIFERY
Active
Organization
FULL BLOOM MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNA BRETON MSN, CNM (PARTNER)
(707) 964-8808
Entity
Organization
Contact information
Practice address
722 N MAIN ST, FORT BRAGG, CA 95437-3017
(707) 964-8808
(707) 964-8808
Mailing address
722 N MAIN ST, FORT BRAGG, CA 95437-3017
(707) 964-8808
(707) 964-8808
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
1784
CA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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