Individual
MARYANN ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1215 N KANIKSU ST, POST FALLS, ID 83854-7261
(509) 998-9978
Mailing address
1215 N KANIKSU ST, POST FALLS, ID 83854-7261
(509) 998-9978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013677
WA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
About Stedi
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