Individual
CARISSA ELLEN CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
505 BOYDSTUN ST, MCCALL, ID 83638-3403
(208) 615-2273
(208) 630-6303
Mailing address
505 BOYDSTUN ST, MCCALL, ID 83638-3403
(208) 615-2273
(208) 630-6303
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-105
ID
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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