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Organization

JUNIPER TREE MIDWIFERY LLC

Active
Other names
Juniper Tree Midwifery LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JUNIPER LANMON-FREEMAN CPM,CDM (LICENCED MIDWIFE)
(907) 299-4399
Entity
Organization

Contact information

Practice address
26495 VINCENT STREET, KASILOF, AK 99610-0811
(907) 299-4399
Mailing address
P.O. BOX 811, KASILOF, AK 99610-0811
(907) 299-4399
(907) 782-4394

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
1008108
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518357920
INDIVIDUAL NPI #
AK
Enumeration date
12/22/2015
Last updated
08/17/2016
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