Individual
RENNETTA LYNNETTE MULKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT MIDWIFE
Contact information
Practice address
3114 34TH AVE S, SEATTLE, WA 98144-6128
(206) 765-8049
Mailing address
3114 34TH AVE S, SEATTLE, WA 98144-6128
(206) 765-8049
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
WA
Enumeration date
07/27/2022
Last updated
07/27/2022
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