JENNIFER DAWN BRAKEMAN

HAYDEN, ID
NPI1205369436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: ID  MID-57)
Enumeration Date2017-04-05
Last Update Date2017-04-05
Business Address
-- JENNIFER DAWN BRAKEMAN LM
1076 W HAYDEN AVE
HAYDEN, ID 83835
Phone number: 208-772-2823
Mailing Address
-- JENNIFER DAWN BRAKEMAN LM
PO BOX 265
HAYDEN, ID 83835-0265
Phone number: 208-699-5261
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