Organization
MOTHERWISE MIDWIFERY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY DRAZNIN LM, CPM (SOLE MEMBER)
(208) 310-3252
Entity
Organization
Contact information
Practice address
424 S JEFFERSON ST, MOSCOW, ID 83843-2937
(208) 310-3252
Mailing address
508 W CHESTNUT ST, GENESEE, ID 83832-9542
(208) 310-3252
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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