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Individual

GLENNA MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
3074 W MENDES DR, RIVERDALE, CA 93656-9772
(559) 790-1440
Mailing address
3074 W MENDES DR, RIVERDALE, CA 93656-9772
(559) 790-1440

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM734
CA
374J00000X
Doula
CA

Other

Enumeration date
02/23/2024
Last updated
04/28/2025
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