Individual
GWYNAVIA MONIQUE SCULLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 CENTER ST, WATERLOO, IA 50703-3616
(319) 404-2630
Mailing address
442 CENTER ST, WATERLOO, IA 50703-3616
(319) 404-2630
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
1423959
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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