Individual
MR. JOHN LINTON CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1509 N WHITLEY DRIVE, SUITE 5, FRUITLAND, ID 83619
(208) 452-5716
(208) 452-5718
Mailing address
1509 N WHITLEY DRIVE, SUITE 5, FRUITLAND, ID 83619
(208) 452-5716
(208) 452-5718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N24466
ID
163W00000X
Registered Nurse
—
OR
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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