EMILY RENEE WITTENBERG

CALDWELL, ID
NPI1720797657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  65681)
Enumeration Date2022-11-18
Last Update Date2022-11-18
Business Address
EMILY RENEE WITTENBERG
2609 S 10TH AVE STE 102
CALDWELL, ID 83605-6885
Phone number: 208-454-2766
Mailing Address
EMILY RENEE WITTENBERG
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167