Individual
MRS. RAQUEL DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
980 MEDICAL DR, SUITE 1, BRIGHAM CITY, UT 84302-3094
(435) 723-6191
(435) 723-7797
Mailing address
980 MEDICAL DR, SUITE 1, BRIGHAM CITY, UT 84302-3094
(435) 723-6191
(435) 723-7797
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
278411-4402
UT
Other
Enumeration date
10/27/2006
Last updated
09/16/2014
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