Individual
ANNA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 W STATE ST FL 5, BOISE, ID 83702-6056
(208) 334-6530
(208) 332-7331
Mailing address
450 W STATE ST FL 5, BOISE, ID 83702-6056
(208) 334-6530
(208) 332-7331
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
ID
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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