TYLIE POLATIS

BLACKFOOT, ID
NPI1215665161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-08-09
Last Update Date2025-01-13
Business Address
TYLIE POLATIS
131 S 1075 W
BLACKFOOT, ID 83221-6016
Phone number: 208-534-8656
Mailing Address
TYLIE POLATIS
131 S 1075 W
BLACKFOOT, ID 83221-6016
Phone number: 208-534-8656