DINA LIN MATTINGLY

BOISE, ID
NPI1023600871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  63001)
Enumeration Date2021-02-03
Last Update Date2021-02-03
Business Address
DINA LIN MATTINGLY
6933 W EMERALD ST
BOISE, ID 83704-8616
Phone number: 858-207-8790
Mailing Address
DINA LIN MATTINGLY
330 W ANTON DR
MERIDIAN, ID 83646-2066
Phone number: 858-207-8861
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