Individual
JAMIE LYNNE LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM/LM
Contact information
Practice address
2850 HWY 12, KAMIAH, ID 83536
(208) 451-4625
Mailing address
PO BOX 803, KAMIAH, ID 83536-0803
(208) 451-4625
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-142
ID
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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