Individual
KALILA MICHOL CECCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1612 VYNE ST, PRESCOTT, AZ 86305-1352
(505) 303-9053
(505) 369-4200
Mailing address
1612 VYNE ST, PRESCOTT, AZ 86305-1352
(505) 303-9053
(505) 369-4200
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM290
AZ
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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