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Individual

AISHA RALPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
2080 DUNBARTON DR, JACKSON, MS 39216-5016
(706) 945-2997
Mailing address
5107 ROMANY DR, JACKSON, MS 39211-4836
(706) 951-7511
(737) 910-1331

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
08/12/2020
Last updated
02/01/2023
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