MANDIE MARIE PHILLIPS

BOISE, ID
NPI1104434950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  15151)
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
MANDIE MARIE PHILLIPS LPN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
MANDIE MARIE PHILLIPS LPN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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