Individual
JEUSHA COLEEN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
270 N LINDER RD, MERIDIAN, ID 83642-2437
(208) 884-1223
(208) 887-1935
Mailing address
1969 W DIVIDE CREEK ST, MERIDIAN, ID 83646-3451
(208) 884-1223
(208) 887-1935
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-14
ID
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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