Individual
MRS. MATRGIE ELOISE PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 N KINGS RD, NAMPA, ID 83687-3652
(208) 466-1401
(208) 466-1401
Mailing address
47 N KINGS RD, NAMPA, ID 83687-3652
(208) 466-1401
(208) 466-1401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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