Individual
SHELLY ANNETTE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST # B116, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1496
Mailing address
500 W FORT ST # B116, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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