Individual
MRS. ALYCIA JEANNE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, RM
Contact information
Practice address
459 N. ALDER ST., CRESTONE, CO 81131-0895
(719) 256-5572
Mailing address
459 NORTH ALDER STREET, PO BOX 895, CRESTONE, CO 81131-0895
(719) 256-5572
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
133
CO
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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