SearchIdaho172M00000X

Alicia Braden, LMP

NPI 1699947127 · on the registry since 2008 · sole proprietor

Practice

Address
6606 Lincoln St
Bonners Ferry, ID 83805
Phone
(208) 290-7088

Registry record

Primary taxonomy
172M00000X
172M00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-25

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