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Individual

KLUANE TAWN TOZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
3018 W OVERLAND RD, BOISE, ID 83705-3059
(208) 813-0698
Mailing address
3018 W OVERLAND RD, BOISE, ID 83705-3059
(208) 813-0698

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-84
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MID-84
LICENSED MIDWIFE
ID
Enumeration date
05/09/2018
Last updated
05/09/2018
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