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Individual

DIANE ROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7707
Mailing address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7707

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP3509
AZ

Other

Enumeration date
12/27/2005
Last updated
11/02/2011
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