Provider Demographics
NPI:1558834366
Name:RING-WOODWARD, REBECCA (CPM LM)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:RING-WOODWARD
Suffix:
Gender:F
Credentials:CPM LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 ATHENS AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0924
Mailing Address - Country:US
Mailing Address - Phone:719-357-3824
Mailing Address - Fax:
Practice Address - Street 1:2060 ATHENS AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0924
Practice Address - Country:US
Practice Address - Phone:719-357-3824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM545176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife