Individual
MRS. PAMELA K. ZIEGENFUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
12378 W DELMAR ST, BOISE, ID 83713-5849
(208) 362-1172
Mailing address
12378 W DELMAR ST, BOISE, ID 83713-5849
(208) 362-1172
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0000021066
ID
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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