Organization
MYSTIC MOUNTAIN MIDWIFERY, LLC.
Active
Organization
MYSTIC MOUNTAIN MIDWIFERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA SENECHAL LM, CPM (MIDWIFE/OWNER)
(253) 693-0275
Entity
Organization
Contact information
Practice address
207 CENTER STREET E, EATONVILLE, WA 98328
(253) 693-0275
Mailing address
30902 12TH AVENUE CT E, ROY, WA 98580-8806
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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