Individual
LAURA KIM BARAONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN047021
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000692986D
PEACH STATE
GA
01
—
00692986D
WELLCARE
GA
05
—
00692986D
—
GA
Enumeration date
01/23/2007
Last updated
12/10/2012
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