Individual
KATRINA R LIEBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
18935 AND 1065
AK
367A00000X
Advanced Practice Midwife
Primary
1973
CA
Other
Enumeration date
01/27/2009
Last updated
10/21/2011
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