| NPI | 1417104530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE RICE Owner/Provider 208-233-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP252A) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-09-30 |