DELORES MAYBACH

GARDEN CITY, ID
NPI1689191140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  56562)
Enumeration Date2017-08-25
Last Update Date2021-08-25
Business Address
DELORES MAYBACH Nurse Practitioner
5601 W CHINDEN BLVD
GARDEN CITY, ID 83714-1463
Phone number: 208-809-2865
Mailing Address
DELORES MAYBACH Nurse Practitioner
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500