KATRINA P MITTLEIDER

BOISE, ID
NPI1487379442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  68740)
Enumeration Date2022-10-11
Last Update Date2022-10-11
Business Address
KATRINA P MITTLEIDER PN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-982-8732
Mailing Address
KATRINA P MITTLEIDER PN
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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