Reta Nichole Manwill, DEM

NPI #1063734341 in Salt Lake City, Utah

Provider Information

NPI Number: 1063734341
Entity Type: Individual
Name: Reta Nichole Manwill, DEM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife, Lay
Credential: DEM
Enumeration Date: Feb 26, 2010
Last Updated: Feb 26, 2010

Practice Location

Address: 270 COATSVILLE AVE
City: Salt Lake City
State: Utah
ZIP Code: 84115-1927
Phone: (801) 415-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife, Lay	175M00000X	Primary

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