STANLEY J WATERS

EMMETT, ID
NPI1023367828
Entity TypeOrganization
Authorized ContactKATHY ANN BUCKLEY
RN Fa
208-870-2689
Organization Subpart ?No
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: ID  N-36730)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
STANLEY J WATERS
1795 S SUB STATION RD
EMMETT, ID 83617-9431
Phone number: 208-870-2689
Mailing Address
STANLEY J WATERS
1795 S SUB STATION RD
EMMETT, ID 83617-9431
Phone number: 208-870-2689
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