Individual
DEENA LAKSHMI MALLAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1580 VALENCIA ST, STE 508, SAN FRANCISCO, CA 94110-4423
(415) 641-2140
(415) 641-2150
Mailing address
PO BOX 60000, FILE 74175, SAN FRANCISCO, CA 94160-0001
(415) 641-2177
(415) 641-2190
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW1429
MEDICAL LICENSE
CA
Enumeration date
07/10/2006
Last updated
08/10/2010
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