Individual
SHELLEY CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
HC 62 BOX 36, ZENIA, CA 95595-9604
(707) 923-1657
Mailing address
HC 62 BOX 36, ZENIA, CA 95595-9604
(707) 923-1657
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM358
CA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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