DIANE RAE NIELSEN

IDAHO FALLS, ID
NPI1205940962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  PA178)
Enumeration Date2006-08-19
Last Update Date2009-09-10
Business Address
-- DIANE RAE NIELSEN PA C
3430 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404
Phone number: 208-523-3060
Mailing Address
-- DIANE RAE NIELSEN PA C
3430 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404
Phone number: 208-523-3060
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