Individual
LORINDA PYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 SUNRISE WAY, POCATELLO, ID 83201-1985
(253) 347-8210
Mailing address
2046 SUNRISE WAY, POCATELLO, ID 83201-1985
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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