Individual
CARA KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S 25TH E, AMMON, ID 83406-5710
(208) 524-1616
Mailing address
670 JEX LN, IDAHO FALLS, ID 83402-5059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6206
ID
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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