MARY AMANDA BASHISTA

BOISE, ID
NPI1609584119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: ID  LRT-914)
Enumeration Date2022-11-14
Last Update Date2022-11-14
Business Address
Mrs. MARY AMANDA BASHISTA RRT
500 W FORT ST
BOISE, ID 83702-4598
Phone number: 208-422-1420
Mailing Address
Mrs. MARY AMANDA BASHISTA RRT
500 W FORT ST
BOISE, ID 83702-4598
Phone number: 208-422-1420