Individual
MOLLY MATTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
210 HOSPITAL DR, VALLEJO, CA 94589-2517
(707) 645-7316
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-3926
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
NMW236368
CA
367A00000X
Advanced Practice Midwife
Primary
10025320
OR
Other
Enumeration date
07/10/2023
Last updated
06/11/2024
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