Individual
MRS. ROSEMARY E. PENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3018 W OVERLAND RD, BOISE, ID 83705-3059
(208) 570-4578
Mailing address
10304 W PATTIE ST, BOISE, ID 83704-1245
(208) 570-4578
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-3
ID
Other
Enumeration date
07/11/2008
Last updated
07/24/2015
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