Individual
DIANA FERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
2325 KALE BLVD, FAIRFIELD, IA 52556-8871
(641) 919-4903
Mailing address
2325 KALE BLVD, FAIRFIELD, IA 52556-8871
(641) 919-4903
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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