Individual
ELIZABETH TOSCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 318-6214
Mailing address
15211 WICKLOW LN, CALDWELL, ID 83607-8372
(208) 318-6214
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
6428
ID
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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