MARLO PICHARDO

EAGLE, ID
NPI1699842021
Other NameMARLO SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1898)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9102903)
Enumeration Date2006-11-29
Last Update Date2026-02-13
Business Address
MARLO PICHARDO PAC
408 S EAGLE RD STE 205
EAGLE, ID 83616-6079
Phone number: 208-740-8797
Mailing Address
MARLO PICHARDO PAC
408 S EAGLE RD STE 205
EAGLE, ID 83616-6079
Phone number: 208-740-8797