Individual
ALYSSA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-2161
Mailing address
4351 E BURGUNDY DR, NAMPA, ID 83686-5078
(208) 713-2030
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
109210
ID
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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