ECHO T VANDERWAL

SANDPOINT, ID
NPI1760691851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  pa671)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- ECHO T VANDERWAL pa
420 N 2ND AVE STE 100
SANDPOINT, ID 83864-1565
Phone number: 208-265-2242
Mailing Address
-- ECHO T VANDERWAL pa
420 N 2ND AVE STE 100
SANDPOINT, ID 83864-1565
Phone number: 208-265-2242