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DIANA LEE NASH LM, CPM

>> Midwife, Lay >> Other Service Providers

Registrant NPI Number: 1184801961

Individual Registrant:
 DIANA LEE NASH LM, CPM
Gender: F
Sole Proprietor

Location and contact information for practice:
106 VENUS DR  LESLIE, AR 72645-7110 US
Tel: 870-221-1080  Fax: --

Contact information for business:
106 VENUS DR  LESLIE, AR 72645-7110 US
Tel: 870-221-1080  Fax: --

Registration Information:
NPI: 1184801961
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y175M00000XOther Service Providers
Midwife, Lay
AR022012
N176B00000XOther Service Providers
Midwife
TX99270

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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