Individual
MISS LEIGH ANNE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7170
Mailing address
447 N HASKETT ST APT A, MOUNTAIN HOME, ID 83647-6436
(814) 860-1933
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN626357
PA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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