Individual
AMANDA KAY SKARBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642-6305
(208) 706-7050
Mailing address
101 E MALLARD DR APT 380, BOISE, ID 83706-6641
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
63228
ID
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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