LAUREL KATE DEFOGGI

EAGLE, ID
NPI1356195200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  79174)
Enumeration Date2024-04-16
Last Update Date2024-04-16
Business Address
Ms. LAUREL KATE DEFOGGI FNP-BC
951 E PLAZA DR STE 110
EAGLE, ID 83616-6567
Phone number: 208-274-9580
Mailing Address
Ms. LAUREL KATE DEFOGGI FNP-BC
951 E PLAZA DR STE 110
EAGLE, ID 83616-6567
Phone number: 208-274-9580
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