Individual
JUANITA WIELENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4000 14TH ST, SUITE #314, RIVERSIDE, CA 92501-4083
(951) 781-7140
(951) 781-7184
Mailing address
4000 14TH ST, SUITE #314, RIVERSIDE, CA 92501-4083
(951) 781-7140
(951) 781-7184
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1014
CA
Other
Enumeration date
01/08/2007
Last updated
12/01/2021
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