Vickey Schmadeka

NPI 1003208638 - Contractor - 171W00000X

NPI Details
NPI 1003208638
Gender Female
Enumeration Date 02/18/2015
Last Updated 02/18/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
8565 W STONEHAVEN ST
BOISE ID, 83704-7079, US
Phone (541) 805-0028
Fax
Business Location
8565 W STONEHAVEN ST
BOISE ID, 83704-7079, US
Phone (541) 805-0028
Fax
Toxanomy
Taxonomy Code 171W00000X
License State Idaho
License Number MAS-2130
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According to our database, Vickey Schmadeka NPI is 1003208638, taxonomy code is 171W00000X and license number is MAS-2130, license state is located at Idaho. Vickey Schmadeka physically located at 8565 W Stonehaven St, Boise ID, 83704-7079. NPI Number Vickey Schmadeka has the Individual type.

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1003208638 NPI number is provided on an as is basis without warranty of any kind. 1003208638 is maintained by the National Plan & Provider Enumeration System. The contents of Vickey Schmadeka are for informational purposes only.