Individual
AMBER J SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
260 2ND AVE E, TWIN FALLS, ID 83301-6242
(208) 732-0959
Mailing address
827 DRAYTON AVE, TWIN FALLS, ID 83301-4697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54312
ID
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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