Organization
RIVERSIDE MIDWIFERY, LLC
Active
Organization
RIVERSIDE MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANNETTE C JENKINS CNM (MEMBER MANAGER)
(240) 341-4974
Entity
Organization
Contact information
Practice address
3620 BUCKEYSTOWN PIKE POST BOX 69, BUCKEYSTOWN, MD 21717-0069
(240) 341-4974
(304) 461-6522
Mailing address
PO BOX 69, BUCKEYSTOWN, MD 21717-0069
(240) 341-4974
(304) 461-6522
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
12/29/2015
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