Individual
HALEY SUZANNE LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
440 W PEACH TREE DR, HAYDEN, ID 83835-9740
(208) 596-5467
Mailing address
440 W PEACH TREE DR, HAYDEN, ID 83835-9740
(208) 596-5467
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-94
ID
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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