Individual
MS. ELLEN PENNELL HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2185 PACHECO ST, CONCORD, CA 94520-2309
(925) 676-0505
Mailing address
2185 PACHECO ST, CONCORD, CA 94520-2309
(925) 676-0505
(866) 886-7824
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW 1711
CA
Other
Enumeration date
08/30/2006
Last updated
06/08/2016
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