SearchIdaho320900000X

Evan White

NPI 1043038268 · on the registry since 2024 · sole proprietor

Practice

Address
9825 Mayberry Ln
Emmett, ID 83617
Phone
(208) 713-1290

Registry record

Primary taxonomy
320900000X
320900000X
Sex
Male
Record last updated
2024-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho