LETITIA JANE COLES
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1407353683- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2357 NE FRONTAGE RD, MOUNTAIN HOME, ID, 836474040
- Phone
- (775) 340-4449
Specialties & Taxonomies
Registered Nurse
Primary License: ID #34476