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Individual
TANAH ELISABETH CLUNIES-ROSS
Active
Individual
TANAH ELISABETH CLUNIES-ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201810943
OR
367A00000X
Advanced Practice Midwife
235951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760167
—
OR
Enumeration date
04/05/2018
Last updated
03/23/2021
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