Tonia C Grantham LPN

NPI 1295994648 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1295994648
Gender Female
Enumeration Date 06/02/2008
Last Updated 06/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
500 W FORT ST
BOISE ID, 83702-4501, US
Phone (208) 422-1393
Fax
Business Location
1408 W BLAINE AVE
NAMPA ID, 83651-7676, US
Phone (208) 466-8758
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Idaho
License Number 9888
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According to our database, Mrs. Tonia C Grantham LPN NPI is 1295994648, taxonomy code is 164W00000X and license number is 9888, license state is located at Idaho. Tonia C Grantham LPN physically located at 500 W Fort St, Boise ID, 83702-4501. NPI Number Tonia C Grantham LPN has the Individual type.

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1295994648 NPI number is provided on an as is basis without warranty of any kind. 1295994648 is maintained by the National Plan & Provider Enumeration System. The contents of Tonia C Grantham LPN are for informational purposes only.