Individual
MR. CHRISTOPHER MILNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
Mailing address
1611 E ROUND LAKE RD, ST MARIES, ID 83861-8708
(619) 876-1403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56401
ID
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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