NPI 1447985254

Gwynavia Monique Scullark

Practitioner Doula Waterloo, IA

Practice location

Address: 442 Center St, Waterloo, IA 50703-3616
Phone: (319) 404-2630

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X Licence 1423959

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Registry record

NPI: 1447985254
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2022
Record last updated: 18 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.