Most Relevant Information
Provider Data
| NPI Number: | 1003300245 |
| Provider Name: | MALLORIE J KIRSCH LM, CPM |
| Entity Type: | Individual |
| Taxonomy Code: | 176B00000X |
| Specialty: | Midwife |
| License Number: | MW60844376 |
Most Important Dates
| Enumeration Date: | 06/20/2018 |
| Last Updated: | 06/20/2018 |
Provider Practice Location
977A KITCHEN DICK RD
SEQUIM
WA
983827579
Practice Location Phone/Fax
| Phone: | 3607750655 |
| Fax: |
Provider Mailing Location
977A KITCHEN DICK RD
SEQUIM
WA
983827579
Provider Mailing Phone/Fax
| Phone: | 3607750655 |
| Fax: |