Individual
PATRICIA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REEGT, RPSGT
Contact information
Practice address
6088 N COLFAX ST, DALTON GARDENS, ID 83815-9283
(208) 772-1417
Mailing address
6088 N COLFAX ST, DALTON GARDENS, ID 83815-9283
(208) 772-1417
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
PSG-019
ID
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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