Individual
MISTI DIANEE BALZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M
Contact information
Practice address
218 N WHITNEY ST, SAINT AUGUSTINE, FL 32084-0441
(904) 806-6240
Mailing address
218 N WHITNEY ST, SAINT AUGUSTINE, FL 32084-0441
(904) 806-6240
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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