Organization
TREE OF LIFE BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH PAUL CPM LM (OWNER)
(540) 841-4863
Entity
Organization
Contact information
Practice address
1003 MAHONE ST, SUITE 102, FREDERICKSBURG, VA 22401-6214
(540) 841-4863
(540) 227-7472
Mailing address
1003 MAHONE ST, SUITE 102, FREDERICKSBURG, VA 22401-6214
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000033
VA
176B00000X
Midwife
0129000114
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295196954
NPI
VA
01
—
1487835492
NPI
VA
Enumeration date
05/03/2017
Last updated
07/05/2022
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