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MS. ROSALIE DELANEY BLACKWELL LM, CPM
>> Midwife >> Other Service ProvidersRegistrant NPI Number: 1013595503
Individual Registrant:MS. ROSALIE DELANEY BLACKWELL LM, CPM
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2010 EVERGREEN AVE SW LIVE OAK, FL 32064-4421 US
Tel: 386-466-8404 Fax: 800-853-5087
Tel: 386-466-8404 Fax: 800-853-5087
Contact information for business:
2010 EVERGREEN AVE SW LIVE OAK, FL 32064-4421 US
Tel: 386-466-8404 Fax: 800-853-5087
Tel: 386-466-8404 Fax: 800-853-5087
Registration Information:
NPI: 1013595503
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 176B00000X | Other Service Providers Midwife | FL | MW404 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE NUMBER | MW404 | FL | 01 |
