Individual
MAJA PAGE MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
342 YELLOWSTONE AVE, POCATELLO, ID 83201-4530
(208) 680-6971
Mailing address
828 WASHINGTON AVE, POCATELLO, ID 83201-3747
(208) 680-6971
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MASG-282
ID
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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