Individual
AMANDA ROSE KESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
902 STANNAGE AVE, ALBANY, CA 94706-2006
(510) 679-1119
Mailing address
902 STANNAGE AVE, ALBANY, CA 94706-2006
(415) 308-2848
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/16/2020
Last updated
06/16/2020
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