Individual
REBECCA JEAN WANOSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
20568 LUNA RD, WAYNESVILLE, MO 65583-3149
(586) 344-9347
Mailing address
20568 LUNA RD, WAYNESVILLE, MO 65583-3149
(586) 344-9347
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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