Individual
PATRICIA L. STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, CA, EMT-B
Contact information
Practice address
320 11TH ST, LEWISTON, ID 83501-1914
(208) 305-8493
Mailing address
PO BOX 2167, LEWISTON, ID 83501-1420
(208) 305-8493
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
06461507
ID
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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