Individual
YVONNE PREISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 W HONEYSUCKLE AVE, HAYDEN, ID 83835-9270
(208) 762-0185
(208) 772-0327
Mailing address
260 W HONEYSUCKLE AVE, HAYDEN, ID 83835-9270
(208) 762-0185
(208) 772-0327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14393-40
WI
183500000X
Pharmacist
Primary
5397
SD
183500000X
Pharmacist
6149
MT
183500000X
Pharmacist
P6109
ID
183500000X
Pharmacist
PH60018657
WA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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