KAYLA FAYE CORNELL

MERIDIAN, ID
NPI1023840964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
KAYLA FAYE CORNELL
3655 E TAHITI DR
MERIDIAN, ID 83646-5342
Phone number: 208-631-4385
Mailing Address
KAYLA FAYE CORNELL
3655 E TAHITI DR
MERIDIAN, ID 83646-5342
Phone number: 208-631-4385