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Individual

MRS. WYNDI M STEVENS-HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4521 THOMAS JEFFERSON ST, CALDWELL, ID 83605-5100
(208) 454-4820
(208) 454-4859
Mailing address
14934 MIDWAY RD, NAMPA, ID 83651-8147
(360) 970-0805

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53514
ID

Other

Enumeration date
05/27/2020
Last updated
05/27/2020
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