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Elvice Mwenematale
NPI 1831852300 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4316 E Tahiti St
Meridian, ID 83646 - Phone
- (208) 695-1245
- Organisation at this address
- Tale Prime Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2021-10-20
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