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Individual

CHRISTINA MARIE REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM, IBCLC

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
34-49
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316306459
NPPES
WI
01
1942419394
NPPES
WI
Enumeration date
03/06/2020
Last updated
03/06/2020
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