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Individual

TERESA ACHESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
711 W FRANKLIN ST, BOISE, ID 83702-5528
(208) 343-2079
(208) 343-6828
Mailing address
711 W FRANKLIN ST, BOISE, ID 83702-5528
(208) 343-2079
(208) 343-6828

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0618825416
OR

Other

Enumeration date
02/03/2007
Last updated
07/08/2007
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