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Individual

SIRI ANN LARSON IVERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
57 CEDAR AVE, SNOHOMISH, WA 98290-2929
(877) 869-6105
Mailing address
5515 PANTHER LAKE RD, SNOHOMISH, WA 98290-9396
(253) 208-5170

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW60896330
WA

Other

Enumeration date
05/13/2019
Last updated
05/13/2019
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