Individual
KATHERINE GRILL NATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
844 SHOSHONE ST E, TWIN FALLS, ID 83301-6336
(208) 734-9800
(208) 734-9433
Mailing address
844 SHOSHONE ST E, TWIN FALLS, ID 83301-6336
(208) 734-9800
(208) 734-9433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100344
ID
Other
Enumeration date
06/04/2015
Last updated
08/19/2015
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