Individual
MARY CHRISTINE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
10 W MAIN ST PARKER, SAINT ANTHONY, ID 83445-5327
(503) 547-3615
Mailing address
10 W MAIN ST PARKER, SAINT ANTHONY, ID 83445-5327
(503) 547-3615
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MD-96
ID
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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