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Individual

SAMANTHA WILSON BEARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDM

Contact information

Practice address
526 W 19TH AVE, ANCHORAGE, AK 99503-1830
(503) 347-6130
Mailing address
526 W 19TH AVE, ANCHORAGE, AK 99503-1830
(503) 347-6130

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
126458
AK
176B00000X
Midwife
Primary
126458
AK

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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