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Individual

JILL SUSANNA ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
310 S MISSION ST, WENATCHEE, WA 98801-3044
(509) 663-2770
(509) 668-3869
Mailing address
310 S MISSION ST, WENATCHEE, WA 98801-3044

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW61352018
WA

Other

Enumeration date
09/30/2022
Last updated
09/30/2022
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