SearchIdaho101YA0400X

Krissy Blandford, MSP

NPI 1619347234 · on the registry since 2015 · sole proprietor

Practice

Address
1014 W Rush Rd
Eagle, ID 83616
Phone
(208) 921-1809

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2015-09-25

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