KASHA NICHOLE DEROOS

HAYDEN, ID
NPI1801548359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175M00000X Midwife, Lay
(Licence: ID  MID-128)
Enumeration Date2022-01-25
Last Update Date2022-01-25
Business Address
KASHA NICHOLE DEROOS LM, CPM
1076 W HAYDEN AVE
HAYDEN, ID 83835-8793
Phone number: 208-772-2823
Mailing Address
KASHA NICHOLE DEROOS LM, CPM
5155 W CITRUSWOOD DR
POST FALLS, ID 83854-5197
Phone number: 208-500-8777