STACIE MCCOMAS

TWIN FALLS, ID
NPI1366982621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  55317)
Enumeration Date2017-03-06
Last Update Date2017-03-06
Business Address
-- STACIE MCCOMAS NP-C
476 CHENEY DR W SUITE 160
TWIN FALLS, ID 83301-3741
Phone number: 208-944-0497
Mailing Address
-- STACIE MCCOMAS NP-C
652 WOODLAND DR
TWIN FALLS, ID 83301-2406
Phone number: 208-420-2555