SearchIdaho183500000X

Patricia De Blaquiere Sudick, RPH

NPI 1326643628 · on the registry since 2020

Practice

Address
1817 Riverside Rd.
Priest River, ID 83856
Phone
(208) 448-2407
Fax
(208) 448-0344

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-03

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