SAMUEL HALLY

MIDDLETON, ID
NPI1982210795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  65699)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
SAMUEL HALLY NP
1346 CIMARRON CT
MIDDLETON, ID 83644-5894
Phone number: 208-695-8001
Mailing Address
SAMUEL HALLY NP
1346 CIMARRON CT
MIDDLETON, ID 83644-5894
Phone number: 208-695-8001
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