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Individual

ATITIDA ECHI-ABOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
123 E 3RD N, SAINT ANTHONY, ID 83445-1525
(385) 515-5386
Mailing address
123 E 3RD N, SAINT ANTHONY, ID 83445-1525
(385) 515-5386

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
ID

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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