NPI | 1679026447 |
---|---|
Doing Business As | TREASURE VALLEY MOBILE MEDICINE |
Entity Type | Organization |
Authorized Contact | KIMBERLY DREWREY Nurse Practitioner, Business Owner 208-866-4962 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: ID NP1103A) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2016-07-28 |