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Individual

JANE MANIO WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
16111 N BRINSON ST STE 110, NAMPA, ID 83687-5509
(208) 468-9400
Mailing address
16111 N BRINSON ST STE 110, NAMPA, ID 83687-5509
(208) 468-9400

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
2019
CA
367A00000X
Advanced Practice Midwife
Primary
66A
ID

Other

Enumeration date
11/08/2012
Last updated
08/09/2015
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