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Organization

INDIGO MIDWIFERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA WEED LM, CPM, CD(DONA) (MIDWIFE)
(505) 604-9458
Entity
Organization

Contact information

Practice address
12036 COPPER AVE NE, ALBUQUERQUE, NM 87123-1474
(505) 604-9458
(505) 271-2979
Mailing address
12036 COPPER AVE NE, ALBUQUERQUE, NM 87123-1474
(505) 604-9458
(505) 271-2979

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10079R
NM

Other

Enumeration date
02/10/2012
Last updated
02/10/2012
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