Individual
MRS. IRENE M OHLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, PHLEBOTOMIST
Contact information
Practice address
322 W LOGAN ST, CALDWELL, ID 83605-1710
(208) 994-9377
Mailing address
4805 AUSTRIAN SETTLEMENT RD, HOMEDALE, ID 83628-3611
(208) 994-9377
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00038610602
ID
Other
Enumeration date
09/03/2020
Last updated
09/04/2020
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