Individual
KEILAHROSE REBEKAH RUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 N GREGG AVE, FAYETTEVILLE, AR 72703-1811
(479) 325-9157
(479) 974-2004
Mailing address
1628 N GREGG AVE, FAYETTEVILLE, AR 72703-1811
(479) 325-9157
(479) 974-2004
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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