Individual
AUDREY YOSHIKO MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 754-3533
Mailing address
14635 WILEY ST, SAN LEANDRO, CA 94579-1212
(510) 754-3533
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
NUR-RN-LIC-98708
MT
367A00000X
Advanced Practice Midwife
Primary
235866
CA
367A00000X
Advanced Practice Midwife
NUR-RN-LIC-98708
MT
374J00000X
Doula
—
—
Other
Enumeration date
12/28/2009
Last updated
05/03/2023
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