MARLO PICHARDO

NAMPA, 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 Date2023-05-16
Business Address
MARLO PICHARDO PAC
900 N HAPPY VALLEY RD
NAMPA, ID 83687-8596
Phone number: 208-206-0261
Mailing Address
MARLO PICHARDO PAC
404 N HORTON ST
NAMPA, ID 83651-6541
Phone number: 208-466-9292