Individual
NIKOLE LADEEN ZETTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3499 E FAIRVIEW AVE, MERIDIAN, ID 83642-5848
(818) 687-3006
Mailing address
574 E WASHAKIE ST, MERIDIAN, ID 83646-6071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11030
ID
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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