Individual
CHLOE WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
921 S 8TH AVE, POCATELLO, ID 83209-0001
(208) 282-4636
Mailing address
PO BOX 42, KINGSTON, ID 83839-0042
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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