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Individual

DR. NICOLE S. CHRISTIAN-GENIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, DM

Contact information

Practice address
1808 VERDUGO BLVD STE 413, GLENDALE, CA 91208-1468
(818) 658-5980
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(818) 658-5980

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW236250
CA
367A00000X
Advanced Practice Midwife
R152087
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629370382
MD
Enumeration date
11/30/2010
Last updated
09/15/2023
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