Individual
NAOMI GRACE BJORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1727 SOUTH ST, REDDING, CA 96001-1812
(530) 646-8143
Mailing address
6536 QUAIL CREEK RD, REDDING, CA 96002-7904
(530) 209-0603
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM465
CA
176B00000X
Midwife
MW60270938
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM465
MIDWIFERY LICENSE
CA
Enumeration date
03/23/2012
Last updated
11/15/2018
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