STEPHANIE TALLY

CALDWELL, ID
NPI1265171300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  15301)
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
STEPHANIE TALLY RN
18111 WAGNER RD
CALDWELL, ID 83607-9215
Phone number: 208-989-5312
Mailing Address
STEPHANIE TALLY RN
18111 WAGNER RD
CALDWELL, ID 83607-9215
Phone number: 208-989-5312