Search › Idaho › 163WD0400X
Vicki Funaiole
NPI 1528481991 · on the registry since 2014
Practice
- Address
- 1126 W River St
Boise, ID 83702 - Phone
- (208) 331-1155
Registry record
- Primary taxonomy
- 163WD0400X
163WD0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-21
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