Individual
VIRGINIA ROSE PRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
N3631 SLATTS RD, CASCADE, WI 53011-1105
(920) 528-7072
Mailing address
N3631 SLATTS RD, CASCADE, WI 53011-1105
(920) 528-7072
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
16-049
WI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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