Individual
REBEKAH MUSTALESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM-TN
Contact information
Practice address
3815 FOREST LN, KNOXVILLE, TN 37918-4230
(865) 300-2997
Mailing address
3815 FOREST LN, KNOXVILLE, TN 37918-4230
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
63
TN
374J00000X
Doula
9680
TN
Other
Enumeration date
06/25/2013
Last updated
10/29/2014
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