VICKI ALLEN PENWELL

BOISE, ID
NPI1598091910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: NM  83069-R)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
Ms. VICKI ALLEN PENWELL CPM
2829 N CITRUS PL
BOISE, ID 83713-5185
Phone number: 208-954-6788
Mailing Address
Ms. VICKI ALLEN PENWELL CPM
PO BOX 190563
BOISE, ID 83719-0563
Phone number: 208-954-6788
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