Individual
LISA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
9515 N PRINCE WILLIAM LOOP, HAYDEN, ID 83835-0050
(574) 612-1281
Mailing address
9515 N PRINCE WILLIAM LOOP, HAYDEN, ID 83835-0050
(574) 612-1281
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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