Individual
MALLORIE J KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
977A KITCHEN DICK RD, SEQUIM, WA 98382-7579
(360) 775-0655
Mailing address
977A KITCHEN DICK RD, SEQUIM, WA 98382-7579
(360) 775-0655
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW60844376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW60844376
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/20/2018
Last updated
06/20/2018
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