Individual
JENNIFER LIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-7958
Mailing address
143B GIBSON ST, UKIAH, CA 95482-3940
(732) 539-5288
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
704861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
704861
NURSE MIDWIFE
TX
Enumeration date
11/08/2006
Last updated
07/01/2011
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