SAMANTHA KAITLIN LEGAULT

BOISE, ID
NPI1205658978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  8861276)
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
SAMANTHA KAITLIN LEGAULT FNP-C
6933 W EMERALD ST
BOISE, ID 83704-8616
Phone number: 208-321-0634
Mailing Address
SAMANTHA KAITLIN LEGAULT FNP-C
7848 W MCMULLEN ST
BOISE, ID 83709-0839
Phone number: 208-353-2928