Individual
MARIA V LEIBOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
25ME00049700
NJ
176B00000X
Midwife
Primary
NMW235636
CA
Other
Enumeration date
01/06/2012
Last updated
08/01/2014
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