Individual
CHRISTINE MARIE RADSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
182 W STATE ST, EAGLE, ID 83616-4959
(208) 639-2700
Mailing address
4970 N STARRY NIGHT AVE, MERIDIAN, ID 83646-6626
(208) 501-5359
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-104
ID
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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