Individual
JULIE KAYE MACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 3300 E, RIGBY, ID 83442-5629
(208) 521-5578
Mailing address
51 N 3300 E, RIGBY, ID 83442-5629
(208) 521-5578
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
About Stedi
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