Individual
ALISHA MICHELLE TEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, CNA, PA
Contact information
Practice address
3031 CHAPARRAL DR, IDAHO FALLS, ID 83404-7277
(208) 524-1614
(208) 970-6415
Mailing address
2785 N 5TH W, IDAHO FALLS, ID 83401-1157
(208) 970-6415
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
ID
Other
Enumeration date
05/15/2019
Last updated
06/11/2019
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