Individual
DR. ALISA VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2350 VIA CAPORATTI DR, SUITE B, POCATELLO, ID 83201-5095
(208) 237-5322
Mailing address
2350 VIA CAPORATTI DR, SUITE B, POCATELLO, ID 83201-5095
(208) 237-5322
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
ID
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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