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Individual

STACEY L GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
500 DOYLE PARK DR STE 103, SANTA ROSA, CA 95405-4559
(707) 579-1129
Mailing address
500 DOYLE PARK DR STE 103, SANTA ROSA, CA 95405-4559
(707) 579-1129

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1469
CA

Other

Enumeration date
03/14/2008
Last updated
03/14/2008
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