Individual
MRS. DANIELLE MEGANN BOETTCHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
297 N 3855 E, RIGBY, ID 83442-5124
(208) 745-7571
Mailing address
PO BOX 995, VICTOR, ID 83455-0995
(847) 239-0817
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-66
ID
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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