Individual
LAURA MARITE MUSTETI-OPREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
414 SHOUP AVE W, TWIN FALLS, ID 83301-5042
(208) 814-9100
Mailing address
414 SHOUP AVE W, TWIN FALLS, ID 83301-5042
(208) 814-9100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11689
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2007
Last updated
01/02/2015
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