Individual
KRYSTA MARIA FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
6456 W KAMLOOPS DR, RATHDRUM, ID 83858-6417
(208) 699-3625
Mailing address
686 S WIDGEON ST, POST FALLS, ID 83854-6212
(208) 964-1394
(208) 567-1640
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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