KATELYN BRIGHAM

EAGLE, ID
NPI1932788189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  M-17891)
Enumeration Date2021-04-05
Last Update Date2024-09-05
Business Address
KATELYN BRIGHAM
450 W STATE ST
EAGLE, ID 83616-7057
Phone number: 208-939-1035
Mailing Address
KATELYN BRIGHAM
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: