Individual
MOLLY ELLEN GLEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, LICENSED MIDWIFE
Contact information
Practice address
530 S MAIN ST, UKIAH, CA 95482-4926
(503) 808-0377
(707) 671-7478
Mailing address
530 S MAIN ST, UKIAH, CA 95482-4926
(503) 808-0377
(707) 671-7478
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
629
CA
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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