Individual
ANNALISE DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
3399 E LOUISE DR, MERIDIAN, ID 83642-5211
(208) 706-2663
Mailing address
7683 E DAMON LN, NAMPA, ID 83687-5454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9771186
ID
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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