Individual
MRS. DEANNA MARIE HUCKABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 BROADWAY AVE, BOISE, ID 83706-3708
(208) 345-1551
(208) 345-6254
Mailing address
1524 BROADWAY AVE, BOISE, ID 83706-3708
(208) 345-1551
(208) 345-6254
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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