Individual
MISS TERESA M MANLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1718 S INGRAM AVE, SUITE A, SEDALIA, MO 65301-7505
(660) 827-0015
(660) 827-5490
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
111249
IA
367A00000X
Advanced Practice Midwife
Primary
RN2009012360
MO
Other
Enumeration date
06/12/2006
Last updated
11/04/2010
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