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NPI Code Detail

MEDICARE: EMUNAH ELAYLA MEYER TARVER LM

MEDICARE:   EMUNAH ELAYLA MEYER TARVER  LM
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
1176B00000XMidwifeLM566CA

General Provider Information

NPI Number : 1639630346
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMUNAH ELAYLA MEYER TARVER LM
Provider Business Mailing Address
First Line : 1177 KEITH AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1606
Country : US
Telephone Number : 510-459-3938
Fax Number :
Provider Business Practice Location Address
First Line : 1177 KEITH AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1606
Country : US
Telephone Number : 510-459-3938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 03/26/2019

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Directions to “ EMUNAH ELAYLA MEYER TARVER LM” Practice Location

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