Individual
STACEY KAREN BAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
509 LYNWOOD BLVD, TWIN FALLS, ID 83301-4132
(208) 420-4961
Mailing address
509 LYNWOOD BLVD, TWIN FALLS, ID 83301-4132
(208) 420-4961
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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