Individual
EVA SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
127 E EUCLID AVE, SPOKANE, WA 99207-2022
(509) 326-4366
(509) 328-9266
Mailing address
127 E EUCLID AVE, SPOKANE, WA 99207-2022
(509) 326-4366
(509) 328-9266
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
14124R
NM
176B00000X
Midwife
Primary
MW 60516027
WA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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