Individual
MS. CARRIE GRAHAM BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 12TH AVE RD STE A, NAMPA, ID 83686-6184
(208) 467-3271
Mailing address
141 HABITAT ST UNIT 2, PIKEVILLE, KY 41501-9033
(986) 200-3450
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/22/2024
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