Individual
AMY E GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3900 E 16TH AVE, SUITE B, POST FALLS, ID 83854-8925
(208) 660-3138
Mailing address
3900 E 16TH AVE, SUITE B, POST FALLS, ID 83854-8925
(208) 660-3138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11-0158
ID
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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