Individual
ANNE LOUISE CHENNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
30 MAPLE DR, WEISER, ID 83672-1566
(208) 513-0222
Mailing address
30 MAPLE DR, WEISER, ID 83672-1566
(951) 537-4283
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
ZF375580D
ID
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
About Stedi
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