Individual
MARIA HERBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-4195
Mailing address
1622 S LOGGERS POND PL APT 14, BOISE, ID 83706-7503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8981
ID
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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