Individual
ANN-TOY ELLSWORTH BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10570 RAMMELL MOUNTAIN RD, TETONIA, ID 83452-4971
(208) 456-2758
Mailing address
10570 RAMMELL MOUNTAIN RD, TETONIA, ID 83452-4971
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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