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Dyana Coose

NPI 1427705524 · on the registry since 2022 · sole proprietor

Practice

Address
5475 S Wayland Ave
Meridian, ID 83642
Phone
(503) 970-2543

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-08

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