Individual
KIRSTIN L SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1545 WAGONER DR, LIVERMORE, CA 94550-5815
(925) 577-1268
Mailing address
PO BOX 1082, PLEASANTON, CA 94566-0108
(925) 577-1268
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
327
CA
176B00000X
Midwife
99139
TX
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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