MICHAEL DESCHENE

KUNA, ID
NPI1326464991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN15774)
Enumeration Date2014-03-06
Last Update Date2014-03-06
Business Address
MICHAEL DESCHENE
641 E WILD LILAC ST
KUNA, ID 83634-2388
Phone number: 208-577-1556
Mailing Address
MICHAEL DESCHENE
641 E WILD LILAC ST
KUNA, ID 83634-2388
Phone number: 208-577-1556