Individual
MRS. ELAINE CONSTANTINESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA, PBT(ASCP)
Contact information
Practice address
2 HAMMON DR, SALMON, ID 83467-5102
(208) 249-7182
(208) 742-1891
Mailing address
2 HAMMON DR, SALMON, ID 83467-5102
(208) 249-7182
(208) 742-1891
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
58191
ID
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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