Individual
BEN FERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4521 THOMAS JEFFERSON ST, CALDWELL, ID 83605-5100
(208) 454-4820
Mailing address
218 W SPRUCE ST, CALDWELL, ID 83605-6292
(208) 989-6707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-45404
ID
Other
Enumeration date
07/18/2022
Last updated
07/19/2022
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