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Individual

KATHERINE LINDSAY MONDADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9951 W ST LUKES DR, NAMPA, ID 83687-7914
(208) 467-6700
(208) 463-6044
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1658
ID
363A00000X
Physician Assistant
PA61091674
WA

Other

Enumeration date
10/16/2018
Last updated
02/12/2025
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