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Krista Profit
NPI 1497394506 · on the registry since 2020 · sole proprietor
Practice
- Address
- 609 E 5th St
Shoshone, ID 83352 - Phone
- (971) 678-7865
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-06
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