Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 235637 | CA |
NPI | 1033622782 |
---|---|
Provider Name | Mrs. Raquelle G. Rowe |
First Address | Omaha, NE 68154 |
Second Address | Omaha, NE 68154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2017 |
Last Update Date | 15/11/2017 |