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Origin Pregnancy Boutique

Origin Pregnancy Boutique is a health care provider in Fort Bragg, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 45040 Main Street, B, Mendocino, CA 95460, US
Practice Location Phone707-937-1477
Practice Location Fax707-937-1480
NPI ?1255661583
Entity TypeOrganization
Enumeration Date ? Jan 8, 2010
Last Update Date ? Jan 8, 2010
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Origin Pregnancy Boutique

SpecialtySpecializationLicenseLicense State
Radiologic TechnologistSonography RDMS81478California

official-icon Authorized Official of Origin Pregnancy Boutique

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Origin Pregnancy Boutique's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Amy Davis (RDMS)
Authorized Official Title/PositionOWNER/SONOGRAPHER
Authorized Official Phone Number707-937-1477