Individual
MAYA DANIELLE CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
530 S MAIN ST, UKIAH, CA 95482-4926
(530) 687-2844
Mailing address
759 SOUTH STATE STREET, PMB # 7, UKIAH, CA 95482
(530) 687-2844
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
400
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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