MAGIC VALLEY MIDWIFERY, LLC
Ambulatory Health at Avenue F, Appleton, ID

License number
Idaho CNM-24A
Category
Ambulatory Health
Type
Ambulatory Family Planning Facility
Owner
Name: MS. CONNIE JEAN WOLCOTT C.N.M.
Title: CERTIFIED NURSE-MIDWIFE
Phone: (208) 324-2778
Address
Address
102 Avenue F E, Appleton, ID 83338
National Provider ID: 1457596769
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MAGIC VALLEY MIDWIFERY, LLC at bizstanding.com

MAGIC VALLEY MIDWIFERY, LLC

276 S 360 W, Jerome, ID 83338

Status:
Inactive
Registration:
Nov 26, 2007
Inactive since:
Feb 8, 2011
State ID:
W68842
Business type:
LIMITED LIABILITY COMPANY
Agent:
Connie J Wolcott,276 S 360 W, Jerome, ID 83338 (Physical)

Ambulatory Health licenses in Idaho


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