Individual
MS. GLORIA GONZALEZ CAMPISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M. (LICENCED MIDWI
Contact information
Practice address
205 W. CLAY STREET, UKIAH, CA 95482
(707) 621-5012
Mailing address
P.O. BOX 553, UKIAH, CA 95482
(707) 391-7508
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM612
CA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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