Ilithyia Pllc

NPI #1720643257 in Everett, Washington

Provider Information

NPI Number: 1720643257
Entity Type: Organization
Organization Name: Ilithyia Pllc
Primary Specialty: Midwife
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 2804 GRAND AVE STE 300
City: Everett
State: Washington
ZIP Code: 98201-3586
Phone: (360) 447-8214

Authorized Official

Name: MRS. KAITLYN SHAW, MS, LM/CPM
Title: MEMBER
Phone: (360) 447-8214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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