Individual
MR. TRINITY R PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10967 WILDROSE CT, BOISE, ID 83713-9510
(208) 908-8005
Mailing address
10967 WILDROSE CT, BOISE, ID 83713-9510
(208) 908-8005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-44485
ID
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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