Individual
GERALDINE RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 PERIWINKLE LN, LONG BEACH, MS 39560-6364
(228) 263-4447
Mailing address
15 PERIWINKLE LN, LONG BEACH, MS 39560-6364
(228) 263-4447
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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