Individual
KIARA RAYSHAUN FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4555 W MARTIN LUTHER KING JR BLVD APT 229, LOS ANGELES, CA 90016-6001
(323) 770-8576
Mailing address
4555 W MARTIN LUTHER KING JR BLVD APT 229, LOS ANGELES, CA 90016-6001
(323) 770-8576
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
95135967
CA
176B00000X
Midwife
Primary
236416
CA
367A00000X
Advanced Practice Midwife
236416
CA
Other
Enumeration date
09/28/2023
Last updated
12/01/2023
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