Rose Mountain Midwifery LLC
Clinic/Center, Birthing in Gillette, WY. Organization (NPI-2).
NPI number1699320697
StatusActive
Last updated in NPPESAug 6, 2019
Details
- NPI
- 1699320697
- Entity type
- Organization (NPI-2)
- Legal business name
- Rose Mountain Midwifery LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2019
- Last updated
- Aug 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QB0400X | Clinic/Center, Birthing | – | – | Yes |
Practice location
603 S Gillette AveGillette, WY 82716-4205
Phone 406-781-8681
Mailing address
603 S Gillette AveGillette, WY 82716-4205
Phone 406-781-8681
Authorized official
Jacqueline Lopez
Owner/Midwife
4067818681
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