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Organization

LITTLE STAR BIRTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANISSA CORNELIUS LM, CPM, IBCLC (CEO)
(951) 347-5418
Entity
Organization

Contact information

Practice address
4676 LA CUENTA DR, SAN DIEGO, CA 92124-3011
(951) 347-5418
(619) 374-7180
Mailing address
4676 LA CUENTA DR, SAN DIEGO, CA 92124-3011
(951) 347-5418
(619) 374-7180

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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