Individual
CINDY M BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1001 EL DORADO AVE, SANTA CRUZ, CA 95062-2824
(831) 462-6575
Mailing address
504 AND A HALF ERRETT CIRCLE, SANTA CRUZ, CA 95060
(831) 462-6575
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM18
CA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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