AMMARA, INC.

PONDERAY, ID
NPI1821003708
Entity TypeOrganization
Authorized ContactKATHY GAVIN
Owner
208-263-1345
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-257A)
Enumeration Date2006-07-29
Last Update Date2020-08-22
Business Address
AMMARA, INC.
30410 HIGHWAY 200
PONDERAY, ID 83852-9601
Phone number: 208-263-1345
Mailing Address
AMMARA, INC.
30410 HIGHWAY 200
PONDERAY, ID 83852-9601
Phone number: 208-263-1345
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