MAGGIE MOULTON

FRUITLAND, ID
NPI1245999697
Former NameMAGGIE OYEDEJI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2198)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-12-14
Last Update Date2022-01-17
Business Address
MAGGIE MOULTON PA-C
910 NW 16TH ST STE 101
FRUITLAND, ID 83619-2265
Phone number: 208-452-8050
Mailing Address
MAGGIE MOULTON PA-C
2861 N MARBURG AVE
MERIDIAN, ID 83646-8281
Phone number: