CARLA J GENTRY

HAYDEN, ID
NPI1396728416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP566A)
Enumeration Date2005-11-22
Last Update Date2007-07-08
Business Address
Mrs. CARLA J GENTRY NP
8181 CORNERSTONE DR
HAYDEN, ID 83835
Phone number: 208-772-0785
Mailing Address
Mrs. CARLA J GENTRY NP
8181 CORNERSTONE DR
HAYDEN, ID 83835
Phone number: 208-772-0785