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NPI Code Detail

MEDICARE: ESTHER HEALEY L.M., C.P.M.

MEDICARE:   ESTHER  HEALEY  L.M., C.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeLM313CA

General Provider Information

NPI Number : 1487923546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER HEALEY L.M., C.P.M.
Provider Business Mailing Address
First Line : 4547 SAN CARLOS AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-4740
Country : US
Telephone Number : 510-479-0905
Fax Number : 888-806-9078
Provider Business Practice Location Address
First Line : 4547 SAN CARLOS AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-4740
Country : US
Telephone Number : 510-479-0905
Fax Number : 888-806-9078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2011
Last Update Date : 05/11/2016

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