AUTUMN M FREELAND

MERIDIAN, ID
NPI1790926210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  pa-793)
Enumeration Date2009-03-12
Last Update Date2016-11-10
Business Address
-- AUTUMN M FREELAND PA
3250 W CHERRY LANE
MERIDIAN, ID 83642-1026
Phone number: 208-367-5220
Mailing Address
-- AUTUMN M FREELAND PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5220