Individual
ALLISON TOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6198 S 46TH E, IDAHO FALLS, ID 83406-8248
(307) 272-7801
Mailing address
6198 S 46TH E, IDAHO FALLS, ID 83406-8248
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
14795
ID
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302491
ID
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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