Individual
ELIZABETH ANN MERTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N WESTGATE DR STE A-1, BOISE, ID 83704-7164
(208) 334-0730
Mailing address
PO BOX 83720, BOISE, ID 83720-0026
(208) 334-0730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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