Individual
REBEKAH BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
679 E 2ND AVE STE 4/5, DURANGO, CO 81301-5563
(970) 749-4497
Mailing address
57 COUNTY ROAD 515, IGNACIO, CO 81137-8709
(970) 749-4497
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
14130R
NM
176B00000X
Midwife
Primary
M.W.R.0000159
CO
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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