Organization
BIRTHROOT MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNA MAE NAOMI MASTRANGELO CPM, LM (OWNER/PARTNER)
(301) 991-7414
Entity
Organization
Contact information
Practice address
405 SWEETBRIAR RD, MARTINSBURG, WV 25405-6943
(301) 991-7414
Mailing address
PO BOX 1493, SHEPHERDSTOWN, WV 25443-1493
(301) 991-7414
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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