HEATHER LIN HALVERSEN

POCATELLO, ID
NPI1801526199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-10
Last Update Date2022-09-25
Business Address
Miss HEATHER LIN HALVERSEN
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
Mailing Address
Miss HEATHER LIN HALVERSEN
3782 E 115 N
RIGBY, ID 83442-5613
Phone number: