STACIE L WAITE

NAMPA, ID
NPI1649372418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  PT-2073)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Ms. STACIE L WAITE PT
337 W IOWA AVE
NAMPA, ID 83686-2856
Phone number: 208-467-7889
Mailing Address
Ms. STACIE L WAITE PT
337 W IOWA AVE
NAMPA, ID 83686-2856
Phone number: 208-467-7889
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