SearchIdaho2255A2300X

Mckaela Laverty

NPI 1639890833 · on the registry since 2022 · sole proprietor

Practice

Address
2313 Iowa Ave
Caldwell, ID 83605
Phone
(503) 709-2025

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-06

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