Individual
OLYMPIA HELENA-ROSE MCCUTCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
241 F STREET, BLUE LAKE, CA 95525
(707) 223-5322
Mailing address
PO BOX 101, BLUE LAKE, CA 95525-0101
(707) 223-5322
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
268
CA
Other
Enumeration date
12/01/2010
Last updated
12/19/2013
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