| NPI | 1376071332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL AMARYLLIS OGLE Registered Agent 425-971-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: WA MW60452672) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |