SAMANTHA J. BEDOLLA
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1336068618- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1246 YELLOWSTONE AVE STE C5, POCATELLO, ID, 832014373
- Phone
- (208) 233-0150
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary License: ID #8081510