Individual
ALBERTA SUE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S 600 W TRLR 28, BURLEY, ID 83318-5056
(208) 821-5702
Mailing address
17 S 600 W TRLR 28, BURLEY, ID 83318-5056
(208) 821-5702
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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