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Organization

EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA MARIE VAN DE WATER APRN, CNM (OWNER)
(907) 957-6597
Entity
Organization

Contact information

Practice address
1601 SALMON CREEK LN, JUNEAU, AK 99801-7867
(907) 957-6597
(833) 689-9875
Mailing address
PO BOX 6, SOUTH EGREMONT, MA 01258-0006
(907) 957-6597
(833) 689-9875

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
983
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022737
AK
Enumeration date
01/05/2016
Last updated
05/06/2022
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