Organization
COMMUNITY MIDWIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA NELSON LM, RM, CPM (OWNER/PARTNER)
(970) 385-2626
Entity
Organization
Contact information
Practice address
603 NE AZTEC BLVD, AZTEC, NM 87410-1706
(970) 385-2626
(970) 375-9053
Mailing address
755 E 2ND AVE, DURANGO, CO 81301-5498
(970) 385-2626
(970) 375-9053
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
84100-R
NM
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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