Individual
TERRY HEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 E IOWA AVE, NAMPA, ID 83686-5641
(208) 440-8967
Mailing address
1713 E IOWA AVE, NAMPA, ID 83686-5641
(208) 440-8967
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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