Individual
MISTY DAWN MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
5301 LONGLEY LN STE A8, RENO, NV 89511-1805
(865) 206-1075
(530) 600-1015
Mailing address
2244 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3408
(865) 206-1075
(530) 578-0016
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM433
CA
Other
Enumeration date
02/24/2012
Last updated
10/01/2015
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