Individual
MRS. KRISTAL DANIELLE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
(208) 346-7500
Mailing address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
QK340373E
ID
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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