JESSICA WYNN COUNCELL

BOISE, ID
NPI1982230710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: ID  59664)
Enumeration Date2020-03-12
Last Update Date2020-06-09
Business Address
JESSICA WYNN COUNCELL CNM
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Phone number: 208-302-1200
Mailing Address
JESSICA WYNN COUNCELL CNM
3340 E GOLDSTONE DR.
MERIDIAN, ID 83642
Phone number: 208-302-1200
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