Organization
ANCIENT PATHS BIRTH @ WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MARIE DUNN CPM, LM (OWNER)
(208) 415-1788
Entity
Organization
Contact information
Practice address
2201 N GOVERNMENT WAY STE C, COEUR D ALENE, ID 83814-3658
(208) 704-2765
(208) 704-2765
Mailing address
2201 N GOVERNMENT WAY STE C, COEUR D ALENE, ID 83814-3658
(208) 704-2765
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
MID-33
ID
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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