Individual
TANYA RACHEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
6180 LEHMAN DR STE 103, COLORADO SPRINGS, CO 80918-3459
(719) 229-8746
(719) 325-0242
Mailing address
6180 LEHMAN DR STE 103, COLORADO SPRINGS, CO 80918-3459
(719) 229-8746
(719) 325-0242
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0000237
CO
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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