MEGAN LEE BROCK

MERIDIAN, ID
NPI1083357651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ID  2021210021)
Enumeration Date2022-04-20
Last Update Date2022-04-20
Business Address
MEGAN LEE BROCK PMNHP
2498 N STOKESBERRY PL STE 170
MERIDIAN, ID 83646-5842
Phone number: 208-918-0958
Mailing Address
MEGAN LEE BROCK PMNHP
2113 CRESCENT DR
CALDWELL, ID 83605-5238
Phone number: 209-608-0422
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