REATTA OMOTH

TWIN FALLS, ID
NPI1063256584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  9861160)
Enumeration Date2024-06-20
Last Update Date2024-09-09
Business Address
REATTA OMOTH FNP-C
2550 ADDISON AVE E STE E
TWIN FALLS, ID 83301-6748
Phone number: 208-814-7780
Mailing Address
REATTA OMOTH FNP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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