EMILY DALE

FLAGSTAFF, AZ
NPI1568715993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: AZ  12090018)
Additional Taxonomies176B00000X Midwife
(Licence: AZ  177)
Enumeration Date2012-10-23
Last Update Date2013-03-11
Business Address
-- EMILY DALE CPM, LM
20 E CHERRY AVE
FLAGSTAFF, AZ 86001-4607
Phone number: 928-779-6064
Mailing Address
-- EMILY DALE CPM, LM
20 E CHERRY AVE
FLAGSTAFF, AZ 86001-4607
Phone number: 928-779-6064
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