Individual
MARY KAYE AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 N 4400 E, RIGBY, ID 83442-3003
(208) 419-5523
(208) 745-6955
Mailing address
290 N 4400 E, RIGBY, ID 83442-3003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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