Healthcare Provider Details

I. General information

NPI: 1558834366
Provider Name (Legal Business Name): REBECCA RING-WOODWARD CPM LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2019
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 ATHENS AVE
REDDING CA
96001-0924
US

IV. Provider business mailing address

2060 ATHENS AVE
REDDING CA
96001-0924
US

V. Phone/Fax

Practice location:
  • Phone: 719-357-3824
  • Fax:
Mailing address:
  • Phone: 719-357-3824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: