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MISTI DIANEE BALZER C.P.M

>> Midwife >> Other Service Providers

Registrant NPI Number: 1669789673

Individual Registrant:
 MISTI DIANEE BALZER C.P.M
Gender: F
Sole Proprietor

Location and contact information for practice:
218 N WHITNEY ST  SAINT AUGUSTINE, FL 32084-0441 US
Tel: 904-806-6240  Fax: --

Contact information for business:
218 N WHITNEY ST  SAINT AUGUSTINE, FL 32084-0441 US
Tel: 904-806-6240  Fax: --

Registration Information:
NPI: 1669789673
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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