Organization
ESPANOLA VALLEY WOMENS HEALTH
Active
Organization
ESPANOLA VALLEY WOMENS HEALTH
Active
Other names
Espanola Midwifery Service
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FRECHETTE-GUTFREUND LM, CPM (CO-DIRECTOR)
(505) 508-7209
Entity
Organization
Contact information
Practice address
705 LA JOYA ST STE A, ESPANOLA, NM 87532-2233
(505) 508-7209
Mailing address
PO BOX 157, ESPANOLA, NM 87532-0157
(505) 508-7209
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
09065R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56859023
—
NM
Enumeration date
08/19/2010
Last updated
05/12/2016
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