MARY MAVENCAMP

TWIN FALLS, ID
NPI1033734470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  11835)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
MARY MAVENCAMP LPN
260 2ND AVE E
TWIN FALLS, ID 83301-6242
Phone number: 208-732-0959
Mailing Address
MARY MAVENCAMP LPN
260 2ND AVE E
TWIN FALLS, ID 83301-6242
Phone number: 208-732-0959
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