# DR. MIA MARIN- PECK CRUPPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609992650
- **Gender:** F
- **Credential:** N.D., L.M.T

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 7621 | OR | — |
| 175F00000X | Naturopath | 1481 | OR | Yes |
| 176B00000X | Midwife | — | NULL | — |
| 374J00000X | Doula | — | NULL | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 02/07/2012