-- MICHAEL DESCHENE Jr.
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1326464991- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 641 E WILD LILAC ST, KUNA, ID, 836342388
- Phone
- (208) 577-1556
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: ID #PN15774