Individual
LOUISA WALES SEVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
26343 BARBER CUT OFF RD NE, KINGSTON, WA 98346-9401
(206) 954-2622
Mailing address
PO BOX 812, KINGSTON, WA 98346-0812
(206) 954-2622
(206) 451-8428
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW60129702
WA
Other
Enumeration date
01/23/2010
Last updated
06/25/2020
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