NPI | 1356586622 |
---|---|
Entity Type | Organization |
Authorized Contact | RAQUEL L DIBBLE Owner 435-723-6191 |
Organization Subpart ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 278411) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2008-12-15 |