AMANDA RAE MICHELI-PENNINGTON

BOISE, ID
NPI1750007787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  36388)
Enumeration Date2022-10-12
Last Update Date2022-10-12
Business Address
AMANDA RAE MICHELI-PENNINGTON RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1597
Mailing Address
AMANDA RAE MICHELI-PENNINGTON RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1597