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Individual

REBECCA ROSE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CNM CDE

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
95182490
CA
367A00000X
Advanced Practice Midwife
Primary
236017
CA

Other

Enumeration date
01/02/2014
Last updated
07/17/2022
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