Individual
SAMANTHA BROOKE CRICKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
728 FOXBRIAR CV, JACKSONVILLE, FL 32221-1508
(352) 278-4746
Mailing address
728 FOXBRIAR CV, JACKSONVILLE, FL 32221-1508
(352) 278-4746
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QB0400X
TAXONOMY
FL
Enumeration date
02/22/2017
Last updated
02/22/2017
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