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MS. TANIA MARIE MCCRACKEN LM

>> Midwife >> Other Service Providers

Registrant NPI Number: 1801150164

Individual Registrant:
MS. TANIA MARIE MCCRACKEN LM
Gender: F
Sole Proprietor

Location and contact information for practice:
1378 TURQUOISE AVE  MENTONE, CA 92359-1257 US
Tel: 909-528-2417  Fax: --

Contact information for business:
1378 TURQUOISE AVE  MENTONE, CA 92359-1257 US
Tel: 909-528-2417  Fax: --

Registration Information:
NPI: 1801150164
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife
CALM323

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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