Provider Demographics
NPI:1790033058
Name:GALVEZ, REBECCA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GALVEZ
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 W 430 N
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-3367
Mailing Address - Country:US
Mailing Address - Phone:503-816-9217
Mailing Address - Fax:
Practice Address - Street 1:2712 W 430 N
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-3367
Practice Address - Country:US
Practice Address - Phone:503-816-9217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula