Individual
JESSICA QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
310 S HIGH ST, ARCANUM, OH 45304-1212
(937) 417-6238
Mailing address
310 S HIGH ST, ARCANUM, OH 45304-1212
(937) 417-6238
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
04411
OH
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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