CARISSA ELLEN CHAMBERLAIN

MCCALL, ID
NPI1316556277
Former NameCARISSA ELLEN CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: ID  MID-105)
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
CARISSA ELLEN CHAMBERLAIN CPM, LM
505 BOYDSTUN ST
MCCALL, ID 83638-3403
Phone number: 208-615-2273
Mailing Address
CARISSA ELLEN CHAMBERLAIN CPM, LM
505 BOYDSTUN ST
MCCALL, ID 83638-3403
Phone number: 208-615-2273