Individual
MRS. DESIREE ROSE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1101 MADISON ST, SUITE 950, SEATTLE, WA 98104
(206) 988-2080
Mailing address
12302 SE 10TH ST, BELLEVUE, WA 98005
(312) 752-8159
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
60260849
WA
Other
Enumeration date
12/13/2007
Last updated
03/17/2014
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