Individual
MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2303 N CURTIS RD, BOISE, ID 83706-1013
(580) 471-3063
Mailing address
2303 N CURTIS RD, BOISE, ID 83706-1013
(580) 471-3063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011038562
MO
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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