Individual
MELISA RIOS HAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8365 W SNOHOMISH ST, BOISE, ID 83709-5964
(301) 672-6589
Mailing address
8365 W SNOHOMISH ST, BOISE, ID 83709-5964
(301) 672-6589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54342
ID
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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