KATIE LYNN PICKENS

LEWISTON, ID
NPI1255160735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  6461572)
Enumeration Date2024-07-31
Last Update Date2024-10-02
Business Address
KATIE LYNN PICKENS
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
Mailing Address
KATIE LYNN PICKENS
PO BOX 1664
LEWISTON, ID 83501-1467
Phone number: 509-290-3148
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