Individual
JENNIFER NIDALMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
6775 PIONEER RD, MEDFORD, OR 97501-9317
(541) 779-9972
Mailing address
6775 PIONEER RD, MEDFORD, OR 97501-9317
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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