Individual
MRS. CATHY MARIE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
102 PINEHOLLOW, KOOSKIA, ID 83539-5157
(208) 926-7221
Mailing address
102 PINEHOLLOW, KOOSKIA, ID 83539-5157
(208) 926-7221
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MIDGM-26
ID
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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