Nicole Maillis, L.M., CPM

NPI #1215265137 in Taos, New Mexico

Provider Information

NPI Number
1215265137
Entity Type
Individual
Name
Nicole Maillis, L.M., CPM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Midwife
Credential
L.M., CPM
Enumeration Date
Dec 4, 2009
Last Updated
Dec 4, 2009

Practice Location

Address
5540 NDCBU
City
Taos
ZIP Code
87571-6122
Phone
(575) 751-4690

Specialties & Taxonomy Codes

Specialty
Midwife

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