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Individual

SALINA THETFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 S WOODRUFF AVE STE 4, IDAHO FALLS, ID 83404-6371
(208) 419-3271
Mailing address
315 LUV PL, AMMON, ID 83406-4511

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9661379
ID

Other

Enumeration date
10/04/2024
Last updated
10/04/2024
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