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Individual

ELIZABETH ANNE SILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5941
(208) 343-2079
(208) 343-6828
Mailing address
1130 8TH ST, ASTORIA, OR 97103-4911
(208) 965-5094

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MID-100
BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
02/27/2017
Last updated
03/04/2020
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