Organization
ASSIST IN A MIRACLE, LLC
Active
Organization
ASSIST IN A MIRACLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL AMARYLLIS OGLE LM, CPM (REGISTERED AGENT)
(425) 971-3731
Entity
Organization
Contact information
Practice address
7149 MAXWELTON RD, CLINTON, WA 98236-8813
(425) 971-3731
Mailing address
PO BOX 212, CLINTON, WA 98236-0212
(425) 971-3731
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW60452672
WA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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