Individual
EMMELINE FAYE PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
294 BELLE WATLIN CT, BEAVERCREEK, OH 45434-6266
(385) 425-8434
Mailing address
294 BELLE WATLIN CT, BEAVERCREEK, OH 45434-6266
(385) 425-8434
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/24/2020
Last updated
02/25/2020
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