SearchIdaho183500000X

Ciara Minor

NPI 1467829283 · on the registry since 2015 · sole proprietor

Practice

Address
414 N Main St
Moscow, ID 83843
Phone
(208) 882-6076
Fax
(208) 882-6846
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-26

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