FELICIA LYNN BERRIDGE

BOISE, ID
NPI1861101636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0120X Surgery, Pediatric Surgery
(Licence: ID  $$$$$$$$$)
Enumeration Date2022-11-21
Last Update Date2022-11-21
Business Address
FELICIA LYNN BERRIDGE
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
FELICIA LYNN BERRIDGE
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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