Mystic Mountain Midwifery, Llc.

NPI #1447018544 in Eatonville, Washington

Provider Information

NPI Number: 1447018544
Entity Type: Organization
Organization Name: Mystic Mountain Midwifery, Llc.
Primary Specialty: Midwife
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 207 CENTER STREET E
City: Eatonville
State: Washington
ZIP Code: 98328
Phone: (253) 693-0275

Authorized Official

Name: ALEXANDRA SENECHAL, LM, CPM
Title: MIDWIFE/OWNER
Phone: (253) 693-0275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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