Individual
MRS. TESA SUZANNE MORROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4599
(208) 422-1000
(208) 422-1083
Mailing address
8830 W BRADBURY DR, BOISE, ID 83704-4301
(208) 407-0302
(208) 422-1083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11508
ID
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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