Individual
MS. LEANNE MARIE FRATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN CST
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
1776 W SAHARA DR, KUNA, ID 83634-5374
(208) 484-5058
(208) 888-5825
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
14481
ID
246ZC0007X
Surgical Assistant
Primary
91815
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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