Individual
MS. GINGER LARAINE CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSM, LM, CPM
Contact information
Practice address
1048 N 3RD ST, COEUR D ALENE, ID 83814-3110
(208) 699-3625
Mailing address
346 E LEADORA LN, COEUR D ALENE, ID 83815-2113
(360) 929-4977
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-162
ID
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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