Individual
JEANNE MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3964 GREENWOOD ST, NEWBURY PARK, CA 91320-5222
(805) 499-1677
Mailing address
3964 GREENWOOD ST, NEWBURY PARK, CA 91320-5222
(805) 499-1677
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM291
CA
374J00000X
Doula
—
—
Other
Enumeration date
04/16/2010
Last updated
12/08/2010
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