Individual
LIAM A. DOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
313 NORTHERN SKY RD, ATHOL, ID 83801-8317
(208) 819-6359
Mailing address
PO BOX 415, ATHOL, ID 83801-0415
(208) 819-6359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61127506
WA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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