Kasha Nichole Deroos, LM, CPM

NPI #1801548359 in Hayden, Idaho

Provider Information

NPI Number
1801548359
Entity Type
Individual
Name
Kasha Nichole Deroos, LM, CPM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Midwife, Lay
Credential
LM, CPM
Enumeration Date
Jan 25, 2022
Last Updated
Jan 25, 2022

Practice Location

Address
1076 W HAYDEN AVE
City
Hayden
State
Idaho
ZIP Code
83835-8793
Phone
(208) 772-2823

Specialties & Taxonomy Codes

Specialty
Midwife, Lay

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