VIOLET LEONA MOON

BOISE, ID
NPI1154666055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: ID  MID-46)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
Ms. VIOLET LEONA MOON CPM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
Mailing Address
Ms. VIOLET LEONA MOON CPM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
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