Organization
BLOOMIN BABIES BIRTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY KANDIKO CNM (ADMINISTRATOR)
(970) 549-1711
Entity
Organization
Contact information
Practice address
2241 N 7TH ST, GRAND JUNCTION, CO 81501
(970) 549-1711
(970) 314-2633
Mailing address
2241 N 7TH ST, GRAND JUNCTION, CO 81501-7423
(970) 549-1711
(970) 314-2633
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
08/22/2019
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