MARLEY RAE NIELSON

POCATELLO, ID
NPI1790334464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
MARLEY RAE NIELSON Physician Assistant
333 N 18TH AVE STE B3
POCATELLO, ID 83201-3358
Phone number: 208-232-2146
Mailing Address
MARLEY RAE NIELSON Physician Assistant
882 HIGHLAND BLVD
POCATELLO, ID 83204-4733
Phone number: