Individual
MRS. WENDY K. PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-2821
(208) 598-5387
Mailing address
235 NW CARRIE CIR, MOUNTAIN HOME, ID 83647-5672
(208) 598-5387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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