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CHARLOTTE S AINGE PAC

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1689661050
Provider Type
Individual Provider (NPI-1)
Credentials
PAC
Status
Active

Contact & Location

Address
156 N. 6TH ST, POTLATCH, ID, 83855
Phone
(208) 875-2380

Specialties & Taxonomies

Physician Assistant Primary License: ID #PA449

All Addresses

MAILING

700 S MAIN ST

MOSCOW, ID, 838433046

(208) 882-4511

LOCATION

156 N. 6TH ST

POTLATCH, ID, 83855

(208) 875-2380