Individual
REBECCA MANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP60852929
WA
390200000X
Student in an Organized Health Care Education/Training Program
RN 60127891
WA
Other
Enumeration date
03/01/2017
Last updated
06/27/2018
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