Individual
JAYME CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
4041 S ARGONAUT AVE, BOISE, ID 83709-4708
(832) 217-9567
Mailing address
4041 S ARGONAUT AVE, BOISE, ID 83709-4708
(832) 217-9567
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-144
ID
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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