MINDY LEE DEGEUS

MERIDIAN, ID
NPI1316589278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  62731)
Enumeration Date2019-10-11
Last Update Date2020-12-15
Business Address
MINDY LEE DEGEUS NP-C
39 W PINE AVE STE B20
MERIDIAN, ID 83642-2412
Phone number: 208-286-8670
Mailing Address
MINDY LEE DEGEUS NP-C
16564 SADIE AVE
CALDWELL, ID 83607-1476
Phone number: 208-515-6072
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