Individual
MRS. VICKI BLANSETT MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
6111 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2703
(612) 922-4784
(952) 564-3262
Mailing address
6111 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2703
(612) 922-4784
(952) 564-3262
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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