Individual
TABITHA S NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
9732 N 70TH E, IDAHO FALLS, ID 83401-5566
(208) 360-1703
Mailing address
9732 N 70TH E, IDAHO FALLS, ID 83401-5566
(208) 360-1703
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-82
ID
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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