Hanna Rose Blackmore, LM, CPM

NPI #1235960899 in Malad City, Idaho

Provider Information

NPI Number: 1235960899
Entity Type: Individual
Name: Hanna Rose Blackmore, LM, CPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: LM, CPM
Enumeration Date: Aug 13, 2024
Last Updated: Aug 13, 2024

Practice Location

Address: 1593 N 5600 W
City: Malad City
State: Idaho
ZIP Code: 83252-4502
Phone: (801) 916-5288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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