Individual
MS. LARSEN HARRIS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA),
Contact information
Practice address
1541 N 2ND AVE, HAILEY, ID 83333-8629
(208) 720-4338
Mailing address
PO BOX 4172, KETCHUM, ID 83340-4172
(208) 720-4338
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
ID
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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