Jennifer Dawn Brakeman, LM

NPI #1205369436 in Hayden, Idaho

Provider Information

NPI Number: 1205369436
Entity Type: Individual
Name: Jennifer Dawn Brakeman, LM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: LM
Enumeration Date: Apr 5, 2017
Last Updated: Apr 5, 2017

Practice Location

Address: 1076 W HAYDEN AVE
City: Hayden
State: Idaho
ZIP Code: 83835
Phone: (208) 772-2823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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