SearchIdaho106S00000X

Julie Moss

NPI 1760018873 · on the registry since 2020 · sole proprietor

Practice

Address
1181 N 3000 E
Sugar City, ID 83448
Phone
(208) 270-3514

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-20

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