CAITLINN KUUIPO TANAKA

CHUBBUCK, ID
NPI1841712049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN-46661)
Enumeration Date2017-07-10
Last Update Date2017-07-10
Business Address
CAITLINN KUUIPO TANAKA LPN
4835 TRENT ST
CHUBBUCK, ID 83202-2955
Phone number: 208-241-6815
Mailing Address
CAITLINN KUUIPO TANAKA LPN
4835 TRENT ST
CHUBBUCK, ID 83202-2955
Phone number: 208-241-6815