AMIE LEE STORM

ATHOL, ID
NPI1902161391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: ID  MID-81)
Enumeration Date2012-07-11
Last Update Date2023-11-18
Business Address
Mrs. AMIE LEE STORM LM, CPM
8166 E BUNCO RD
ATHOL, ID 83801-5294
Phone number: 208-704-5074
Mailing Address
Mrs. AMIE LEE STORM LM, CPM
8166 E BUNCO RD
ATHOL, ID 83801-5294
Phone number: 208-704-5074
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