Individual
SPRING GENNAY MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
18400 CHESTNUT AVE, TUOLUMNE, CA 95379
(209) 928-4907
Mailing address
PO BOX 897, TUOLUMNE, CA 95379-0897
(209) 928-4907
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
10/19/2018
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