RANMALI KALYANI WALALIYADDA

POCATELLO, ID
NPI1801976923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-624)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
-- RANMALI KALYANI WALALIYADDA PAC
1448 E CENTER ST SUITE E
POCATELLO, ID 83201-4132
Phone number: 208-234-1300
Mailing Address
-- RANMALI KALYANI WALALIYADDA PAC
1448 E CENTER ST SUITE E
POCATELLO, ID 83201-4132
Phone number: 208-234-1300
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