Individual
LARALEE EDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
315 COURTHOUSE DR, SALMON, ID 83467-3946
(208) 993-0618
Mailing address
315 COURTHOUSE DR, SALMON, ID 83467-3946
(208) 993-0618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
33706
ID
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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