SearchIdaho171WH0202X

Carolyn Swan

NPI 1649439373 · on the registry since 2008 · sole proprietor

Practice

Address
417 Main St
Juliaetta, ID 83535
Phone
(208) 276-3174

Registry record

Primary taxonomy
171WH0202X
171WH0202X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-06-06

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