Individual
HALEY NICOLE LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
484 RAVEN WAY APT D, CHUBBUCK, ID 83202-1987
(208) 530-2661
Mailing address
484 RAVEN WAY APT D, CHUBBUCK, ID 83202-1987
(208) 530-2661
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ID
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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