Individual
JESSICA BORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1076 W HAYDEN AVE, HAYDEN, ID 83835-8793
(208) 772-2823
Mailing address
3622 W HILLCREST DR, COEUR D ALENE, ID 83815-9001
(208) 651-0980
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-114
ID
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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