Organization
ROSE MOUNTAIN MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LOPEZ LM, CPM (OWNER/MIDWIFE)
(406) 781-8681
Entity
Organization
Contact information
Practice address
603 S GILLETTE AVE, GILLETTE, WY 82716-4205
(406) 781-8681
Mailing address
603 S GILLETTE AVE, GILLETTE, WY 82716-4205
(406) 781-8681
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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