Individual
JULIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, IBCLC
Contact information
Practice address
30203 CUPENO LN, TEMECULA, CA 92592-2520
(760) 968-6731
Mailing address
30203 CUPENO LN, TEMECULA, CA 92592-2520
(760) 968-6731
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
667
CA
176B00000X
Midwife
LM667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667
MEDICAL BOARD OF CALIFORNIA/IBCLE
CA
01
—
L-308557
IBCLE
CA
Enumeration date
02/26/2020
Last updated
12/16/2022
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