Individual
MICHELLE BOROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M., C.P.M.
Contact information
Practice address
875 55TH ST, OAKLAND, CA 94608-3236
(510) 735-7830
Mailing address
875 55TH ST, OAKLAND, CA 94608-3236
(510) 735-7830
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM306
CA
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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