ANNA PRUDNIKOV

MERIDIAN, ID
NPI1497694277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: ID  64467)
Enumeration Date2026-03-26
Last Update Date2026-03-26
Business Address
ANNA PRUDNIKOV
1109 W LOON ST
MERIDIAN, ID 83642-2895
Phone number: 208-440-0044
Mailing Address
ANNA PRUDNIKOV
1109 W LOON ST
MERIDIAN, ID 83642-2895
Phone number: