Organization
RED MOUNTAIN MIDWIFERY LLC
Active
Organization
RED MOUNTAIN MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA CPM, LM (MIDWIFE)
(480) 440-0502
Entity
Organization
Contact information
Practice address
6260 E SADDLEBACK ST, MESA, AZ 85215-9639
(480) 440-0502
(480) 499-5599
Mailing address
6260 E SADDLEBACK ST, MESA, AZ 85215-9639
(480) 440-0502
(480) 499-5599
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM187
AZ
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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