Individual
MENDY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
Mailing address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55935
ID
Other
Enumeration date
04/18/2017
Last updated
02/18/2024
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