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CALISTA STAR YOUNG LM, CPM
>> Midwife >> Other Service ProvidersRegistrant NPI Number: 1356638407
Individual Registrant: CALISTA STAR YOUNG LM, CPM
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2051 OLD ARCATA RD BAYSIDE, CA 95524-9033 US
Tel: 707-599-5508 Fax: --
Tel: 707-599-5508 Fax: --
Contact information for business:
2051 OLD ARCATA RD BAYSIDE, CA 95524-9033 US
Tel: 707-599-5508 Fax: --
Tel: 707-599-5508 Fax: --
Registration Information:
NPI: 1356638407
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 176B00000X | Other Service Providers Midwife | CA | 278 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
