LACIE DIETRICH

LEWISTON, ID
NPI1477907095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  N-50935)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
-- LACIE DIETRICH RN
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-899-9405
Mailing Address
-- LACIE DIETRICH RN
1118 F. ST
LEWISTON, ID 83501
Phone number: 208-899-9405
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