Search › Idaho › 103TS0200X
Holly Tanner
NPI 1720669955 · on the registry since 2021 · sole proprietor
Practice
- Address
- 150 S Front St
Arimo, ID 83214 - Phone
- (208) 317-3899
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-19
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