Individual
BROOKE GIDDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 N SAWYER ST # F7, CASCADE, ID 83611-7707
(208) 469-0821
Mailing address
PO BOX 1010, CASCADE, ID 83611-1010
(208) 469-0821
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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