Individual
MRS. TAMI MONICA STONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Mailing address
411 14TH AVE S, NAMPA, ID 83651-4217
(208) 447-7180
(208) 381-4355
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T2056
ID
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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