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Individual

DORIAN REBECCA MAINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
5232 BALTIMORE ST, LOS ANGELES, CA 90042
(615) 516-5953
Mailing address
5232 BALTIMORE ST, LOS ANGELES, CA 90042-2350
(615) 516-5953

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
677
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
677
MEDICAL BOARD OF CALIFORNIA
CA
01
CPM22050009
NORTH AMERICAN REGISTRY OF MIDWIVES
Enumeration date
09/30/2022
Last updated
09/30/2022
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