NPI | 1598849051 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA J. MASON Owner/Fn Pc 208-529-2352 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP386A) |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-10-24 |
Last Update Date | 2012-02-03 |