KIMBERLY EVANS

POCATELLO, ID
NPI1962969816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
KIMBERLY EVANS
921 S 8TH AVE
POCATELLO, ID 83209-0002
Phone number: 208-282-4441
Mailing Address
KIMBERLY EVANS
2540 BUTTE ST
POCATELLO, ID 83201-1804
Phone number: 208-220-1188