Individual
TERESA YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
169 BEAVERSLIDE RD, KAMIAH, ID 83536-5113
(208) 935-7963
Mailing address
169 BEAVERSLIDE RD, KAMIAH, ID 83536
(208) 935-7963
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
W143727
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0002751
—
ID
Enumeration date
06/14/2016
Last updated
06/14/2016
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