Individual
SUZIE G CAMPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1002 N 11TH ST, BOISE, ID 83702-4141
(253) 225-5810
Mailing address
1116 S VISTA AVE # 185, BOISE, ID 83705-2429
(253) 225-5810
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-71
ID
Other
Enumeration date
10/05/2016
Last updated
01/27/2021
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