Reta Nichole Manwill, DEM Valid NPI
Individual provider · Lay Midwife · Salt Lake City, UT
- NPI
- 1063734341
- Type
- Individual (Type 1)
- Primary specialty
- Lay Midwife (Midwife, Lay)
- Specialty group
- Other Service Providers
- Taxonomy code
- 175M00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-02-26
- Last updated
- 2010-02-26
Practice location
270 Coatsville Ave
Salt Lake City, UT 84115-1927
(801) 415-9888