Individual
MISS J'CINDA J'NAE BITTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 E LOGAN ST STE 301, CALDWELL, ID 83605-4882
(208) 459-4667
(208) 459-3372
Mailing address
211 E LOGAN ST STE 301, CALDWELL, ID 83605-4882
(208) 459-4667
(208) 459-3372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10839
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808082600
—
ID
Enumeration date
07/07/2008
Last updated
01/27/2022
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