MRS. Vicki Blansett Moses, CPM

NPI #1245582758 in St Louis Park, Minnesota

Provider Information

NPI Number: 1245582758
Entity Type: Individual
Name: MRS. Vicki Blansett Moses, CPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife
Credential: CPM
Enumeration Date: Oct 8, 2012
Last Updated: Oct 8, 2012

Practice Location

Address: 6111 EXCELSIOR BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-2703
Phone: (612) 922-4784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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