Individual
MRS. REBECCA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
405 ESTELLE ST, DYSART, IA 52224-9502
(563) 506-4156
Mailing address
PO BOX 22, DYSART, IA 52224-0022
(563) 506-4156
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
12/07/2022
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