Individual
MRS. DEEANNE M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
MISSION RD, FORT HALL, ID 83203-0717
(208) 238-5427
Mailing address
BOX 717, MISSION RD, FORT HALL, ID 83203-0717
(208) 782-9742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-22332
ID
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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