Origin Pregnancy Boutique
Origin Pregnancy Boutique is a Sonography Radiologic Technologist in Mendocino, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
45040 Main Street BMendocino, CA 95460
Phone: (707) 937-1477
Fax: (707) 937-1480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sonography Radiologic Technologist (primary) | Taxonomy 2471S1302X · Licence RDMS81478 (CA) |
|---|
Record details
| NPI number | 1255661583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Davis — Owner/Sonographer · (707) 937-1477 |
| NPI enumerated | January 8, 2010 |
| Last updated in NPPES | January 8, 2010 |
| Mailing address | 33275 Pacific Way, Fort Bragg, CA 95437-9226 |
Other providers in Mendocino
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Amy Davis, RDMS81478
45040 Main St, Mendocino, CA 95460 · (707) 937-1477