Individual
MRS. JULIA MARIE VANOSDOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 S HAYES AVE, POCATELLO, ID 83204-3430
(208) 380-0470
Mailing address
655 S HAYES AVE, POCATELLO, ID 83204-3430
(208) 380-0470
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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