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Individual

MS. JULIE AIMEE BIRDSONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNM, WHNP

Contact information

Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
22613
CA
367A00000X
Advanced Practice Midwife
2034
CA

Other

Enumeration date
05/14/2013
Last updated
05/14/2013
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