REBEKAH FANCIULLO LM,CPM
Individual Provider (NPI-1)
Active
Midwife
Provider Information
- NPI Number
1851237903- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LM,CPM
- Status
- Active
Contact & Location
- Address
- 1076 W HAYDEN AVE, HAYDEN, ID, 838358793
- Phone
- (208) 772-2823
- Fax
- (208) 625-2027
Specialties & Taxonomies
Midwife
Primary License: ID #MID-157