Individual
SHERYL RAE GOMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1600 S 25TH E, EASTERN IDAHO TECHNICAL COLLEGE, IDAHO FALLS, ID 83404-5788
(208) 524-3000
Mailing address
353 N RIDGE AVE, IDAHO FALLS, ID 83402-3722
(208) 529-4635
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CNM 22-C
ID
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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