Individual
BRIANDA LIZETH ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1974 N YONKERS AVE, BOISE, ID 83704-6410
(805) 509-1812
Mailing address
1974 N YONKERS AVE, BOISE, ID 83704-6410
(805) 509-1812
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
65010
ID
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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