Organization
TEN MOONS MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE OLIVIA FAIRMAN CPM, LM (CERTIFIED PROFESSIONAL MIDWIFE)
(540) 933-6253
Entity
Organization
Contact information
Practice address
205 E COURT ST, WOODSTOCK, VA 22664-1728
(540) 933-6253
Mailing address
205 E COURT ST, WOODSTOCK, VA 22664-1728
(540) 933-6253
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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