-- DORA KISSI --
Individual Provider (NPI-1)
Active
Advanced Practice Midwife
Provider Information
- NPI Number
1841550647- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1428 N WATERMAN AVE STE B, SAN BERNARDINO, CA, 924045382
- Phone
- (909) 888-7180
Specialties & Taxonomies
Nurse Practitioner, Obstetrics & Gynecology
License: CA #9051
Advanced Practice Midwife
Primary License: CA #826