Individual
CARRIE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 EASTLAND DR STE 7, TWIN FALLS, ID 83301-7454
(208) 258-7681
Mailing address
451 EASTLAND DR STE 7, TWIN FALLS, ID 83301-7454
(208) 258-7681
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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