Individual
LESLIE MILLIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 N MAIN ST STE D, MERIDIAN, ID 83642-2301
(208) 572-0005
Mailing address
PO BOX 75, EAGLE, ID 83616-0001
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
03/16/2022
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