AMY PABAWENA

POCATELLO, ID
NPI1821545211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-54117)
Enumeration Date2016-09-02
Last Update Date2019-09-05
Business Address
AMY PABAWENA NP
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
Mailing Address
AMY PABAWENA NP
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4835
Phone number: 208-232-7862
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