Individual
ANJULA ADHIKARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 PERISKA WAY, IDAHO FALLS, ID 83402-1234
(208) 419-6974
Mailing address
613 PERISKA WAY, IDAHO FALLS, ID 83402-1234
(208) 419-6974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60056
ID
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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