SUSIE ELLIS

BOISE, ID
NPI1942620653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: ID  MID-54)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
Ms. SUSIE ELLIS CPM, LM
9540 W DORSETSHIRE PL
BOISE, ID 83704-2229
Phone number: 208-284-0200
Mailing Address
Ms. SUSIE ELLIS CPM, LM
9540 W DORSETSHIRE PL
BOISE, ID 83704-2229
Phone number: 208-284-0200
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