specializing in peer specialist in Ammon, Idaho

NPI: 1477382042

Provider Type

2

Practice Locations

Mailing Location

PO BOX 2106

IDAHO FALLS, ID 83403

Practice Location

1675 CURLEW DR

AMMON, ID 83406

📞 2085235319

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/31/2024
Last Updated:7/31/2024

Credentials

Primary Credential:
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