Individual
ROSE MAIRE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 OLEARY WAY, TWIN FALLS, ID 83301-8235
(208) 735-1716
Mailing address
701 OLEARY WAY, TWIN FALLS, ID 83301-8235
(208) 735-1716
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
000000005727
ID
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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