MATTHEW SCOTT QUEEN

AMMON, ID
NPI1235448168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-09-27
Last Update Date2010-09-27
Business Address
-- MATTHEW SCOTT QUEEN MS
2325 FIELDSTONE DR
AMMON, ID 83401-5852
Phone number: 208-419-9810
Mailing Address
-- MATTHEW SCOTT QUEEN MS
2325 FIELDSTONE DR
AMMON, ID 83401-5852
Phone number: 208-419-9810
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