KELLEY WHITE

POCATELLO, ID
NPI1376999086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2016-05-11
Last Update Date2016-05-13
Business Address
Ms. KELLEY WHITE
445 N JOHNSON AVE
POCATELLO, ID 83204-3021
Phone number: 208-251-3528
Mailing Address
Ms. KELLEY WHITE
445 N JOHNSON AVE
POCATELLO, ID 83204-3021
Phone number: 208-251-3528
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