Individual
LIGIA MARIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 455-5443
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 455-5443
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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