Individual
LARADENE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209-0002
(472) 620-8282
Mailing address
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209-0002
(472) 620-8282
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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