Organization
TRI MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA E. THOEN BS (OWNER)
(208) 232-4333
Entity
Organization
Contact information
Practice address
357 W CENTER ST STE 201, POCATELLO, ID 83204-3236
(208) 232-4333
(208) 232-1777
Mailing address
357 W CENTER ST STE 201, POCATELLO, ID 83204-3236
(208) 232-4333
(208) 232-1777
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807456600
—
ID
05
—
807456601
—
ID
Enumeration date
05/21/2008
Last updated
05/21/2008
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