Individual
AIMEE LEGOFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2138
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-43226
ID
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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