SearchIdaho363LP0200X

Taylor Mello

NPI 1356959100 · on the registry since 2020 · sole proprietor

Practice

Address
2770 N Woodview Pl
Boise, ID 83702
Phone
(208) 340-5533

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-17

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