Individual
JESSICA COLEMAN RADMALL
Active
Individual
JESSICA COLEMAN RADMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP11704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP11704
ARIZONA BOARD OF NURSING- CNM LICENSE
AZ
Enumeration date
09/07/2018
Last updated
11/15/2021
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