Organization
FULL MOON MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HOXIE LM, CPM (OWNER)
(509) 867-7821
Entity
Organization
Contact information
Practice address
2201 N GOVERNMENT WAY STE C, COEUR D ALENE, ID 83814-3658
(509) 867-7821
Mailing address
1134 N 14TH ST, COEUR D ALENE, ID 83814-4468
(208) 601-6126
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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