Individual
MS. KAREN E HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
2574 CHRISTIAN ST APT 4, WHITE RIVER JUNCTION, VT 05001-5404
(802) 698-8318
Mailing address
PO BOX 265, WILDER, VT 05088-0265
(802) 698-8318
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
107.0069771
VT
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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