Individual
MS. ELIZABETH ALVA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
390 N 1ST E, DRIGGS, ID 83422-5162
(208) 201-4965
Mailing address
PO BOX 548, VICTOR, ID 83455-0548
(208) 201-4965
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
DONA INT. CERTIFIED
ID
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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