Individual
MISS ANGELICA TORRES LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-0349
Mailing address
506 N MIDDLETON RD, NAMPA, ID 83651-7510
(208) 249-6143
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
07/04/2020
Last updated
07/04/2020
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