| NPI | 1801183728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT LEROY SMALL Manager 907-225-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK AK-524) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |