BRANDI LEE MOSS

MALAD CITY, ID
NPI1922725746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  5061676)
Enumeration Date2022-10-24
Last Update Date2024-08-07
Business Address
BRANDI LEE MOSS NP
220 BANNOCK ST
MALAD CITY, ID 83252-5068
Phone number: 208-766-2600
Mailing Address
BRANDI LEE MOSS NP
975 S 2100 W
MALAD CITY, ID 83252-4925
Phone number: 801-358-9683
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