MATT WRATHALL

REXBURG, ID
NPI1205612405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP3300X Clinic/Center, Pain
Enumeration Date2023-09-04
Last Update Date2025-03-16
Business Address
MATT WRATHALL CM
663 TREJO ST
REXBURG, ID 83440-2579
Phone number: 385-758-4356
Mailing Address
MATT WRATHALL CM
PO BOX 151
MENAN, ID 83434-0151
Phone number: 385-758-4356
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