KAE MARIE HILLIARD-DODGE

MOSCOW, ID
NPI1437842374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies225500000X Specialist/Technologist
Enumeration Date2023-05-26
Last Update Date2023-05-26
Business Address
KAE MARIE HILLIARD-DODGE
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-855-6111
Mailing Address
KAE MARIE HILLIARD-DODGE
239 SOUTHVIEW AVE # 4
MOSCOW, ID 83843-5081
Phone number: