SearchIdaho363LG0600X

Corine Faught

NPI 1285165399 · on the registry since 2017 · sole proprietor

Practice

Address
1122 Starfire St
Twin Falls, ID 83301
Phone
(208) 731-5702

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-21

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