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Individual

JUDITH ANN WINHOVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
(619) 429-3823
Mailing address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
(619) 429-3823

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
5554
CA
367A00000X
Advanced Practice Midwife
Primary
1155
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000345741
BC/BS
OH
Enumeration date
08/07/2006
Last updated
11/08/2011
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