NPI 1164505004

Jodi Lynn Dewhirst, LM

Practitioner Lay Midwife Crestline, CA

Practice location

Address: 919 Chillion Dr, Crestline, CA 92325
Phone: (909) 338-2483
Mailing address: 919 Chillion Dr PO Box 4035, Crestline, CA 92325

Registered specialties

Lay Midwife Primary

Other Service Providers Taxonomy 175M00000X Licence 0057 (CA)

Other Midwife, Lay providers in California →

Registry record

NPI: 1164505004
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.