Individual
MS. CATIE ARDEAN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 E STATE ST STE 100, EAGLE, ID 83616
(208) 939-9359
Mailing address
3326 N WHISTLER LN APT 102, BOISE, ID 83703-6234
(775) 287-0488
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
06/05/2019
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