Individual
MS. VIOLET LEONA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2079
(208) 343-6828
Mailing address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2079
(208) 343-6828
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-46
ID
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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