Individual
MS. MEGAN E KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1426 W FRANKLIN AVE, RIDGECREST, CA 93555-8751
(760) 677-1476
Mailing address
1426 W FRANKLIN AVE, RIDGECREST, CA 93555-8751
(760) 677-1476
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
372
CA
Other
Enumeration date
07/14/2013
Last updated
07/14/2013
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