Organization
DESERT BLOSSOM MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY L. DECKER CNM (OWNER)
(520) 335-1128
Entity
Organization
Contact information
Practice address
4810 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2440
(520) 335-1128
(520) 335-1132
Mailing address
4810 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2440
(520) 335-1128
(520) 335-1132
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
01/07/2015
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