Individual
MICHELL DAWN HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
808 N CURTIS RD, BOISE, ID 83706-1306
(208) 376-5273
Mailing address
2682 SAND HOLLOW RD, CALDWELL, ID 83607-8564
(208) 455-2796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA071
ID
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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