Individual
SARAH ELIZABETH KANKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
630 E JENSEN ST UNIT 162, MESA, AZ 85203-2594
(480) 788-4404
Mailing address
630 E JENSEN ST UNIT 162, MESA, AZ 85203-2594
(480) 788-4404
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM230
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19120001
NORTH AMERICAN REGISTRY OF MIDWIVES
—
01
—
LM230
ARIZONA DEPARTMENT OF HEALTH SERVICES LICENCE
AZ
Enumeration date
05/04/2020
Last updated
05/04/2020
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