Organization
MODESTO NATURAL BIRTH PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ALLISON JOHNSON LM (OWNER, LICENSED MIDWIFE)
(209) 482-8682
Entity
Organization
Contact information
Practice address
1608 SUNRISE AVE, STE A, MODESTO, CA 95350-4678
(209) 622-0226
(209) 622-0220
Mailing address
1608 SUNRISE AVE, STE A, MODESTO, CA 95350-4678
(209) 622-0226
(209) 622-0220
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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