Individual
MS. ANITA MARIE GORIUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.EEGT.
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6147
Mailing address
2173 CALICO DR, IDAHO FALLS, ID 83402-2369
(208) 589-4210
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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