Organization
ILITHYIA PLLC
Active
Other names
Sage Fertility, Sage Midwives
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAITLYN SHAW MS, LM/CPM (MEMBER)
(360) 447-8214
Entity
Organization
Contact information
Practice address
2804 GRAND AVE STE 300, EVERETT, WA 98201-3586
(360) 447-8214
(360) 639-6306
Mailing address
2804 GRAND AVE STE 300, EVERETT, WA 98201-3586
(360) 447-8214
(360) 639-6306
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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