Individual
DANDY RAE AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
90 HOPE DRIVE BLDG 6000, MOUNTAIN HOME, ID 83648-1062
(208) 828-7313
Mailing address
90 HOPE DRIVE BLDG 6000, MOUNTAIN HOME, ID 83648-1062
(208) 828-7313
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
05/03/2011
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