SANTHIA LISA ROSE

WASILLA, AK
NPI1194305730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AK  172837)
Additional Taxonomies176B00000X Midwife
(Licence: AK  172837)
Enumeration Date2021-04-08
Last Update Date2021-04-30
Business Address
SANTHIA LISA ROSE CNM
5000 E SHENNUM DR
WASILLA, AK 99654-7718
Phone number: 907-373-3420
Mailing Address
SANTHIA LISA ROSE CNM
5000 E SHENNUM DR
WASILLA, AK 99654-7718
Phone number: 907-373-3420