| |
57 Cedar Ave Snohomish WA 98290-2929 | |
(877) 869-6105 | |
(360) 563-2662 |
Full Name | |
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Speciality | Clinic/center |
Location | 57 Cedar Ave, Snohomish, Washington |
Authorized Official Name and Position | Melissa A. Denmark (MIDWIFE/MANAGER/OWNER) |
Authorized Official Contact | 2067245303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5719 Riverview Rd Snohomish WA 98290-5013 Ph: (877) 869-6105 | 57 Cedar Ave Snohomish WA 98290-2929 Ph: (877) 869-6105 |
NPI Number | 1912232992 |
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Provider Enumeration Date | 10/08/2009 |
Last Update Date | 10/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912232992 | NPI | - | NPPES |
7136716 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MW00000286 (Washington) | Primary |
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