Organization
TWO BEAR MIDWIFERY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA RACHEL JACKSON CDM, CPM (OWNER/ MIDWIFE)
(907) 978-2868
Entity
Organization
Contact information
Practice address
3550 AIRPORT WAY, STE. 4, FAIRBANKS, AK 99709-4772
(907) 978-2868
(907) 488-6098
Mailing address
PO BOX 10250, FAIRBANKS, AK 99710-0250
(907) 978-2868
(907) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
42
AK
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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