Individual
JULIE MARLENA VIVALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
24411 HEALTH CENTER DR., SUITE 620, LAGUNA HILLS, CA 92653
(657) 241-8270
(657) 276-4737
Mailing address
24411 HEALTH CENTER DR., SUITE 620, LAGUNA HILLS, CA 92653
(657) 241-8270
(657) 276-4737
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW1820
MEDICAL LICENSE
CA
Enumeration date
10/08/2008
Last updated
04/09/2024
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