SIERRA FAITH BLANKE
Individual Provider (NPI-1)
Active
Radiologic Technologist, Computed Tomography
Provider Information
- NPI Number
1699628669- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 12585 TRINIDAD ST, CALDWELL, ID, 836075571
- Phone
- (208) 697-3276
Specialties & Taxonomies
Radiologic Technologist, Radiography
License: ID #1040250
Radiologic Technologist, Magnetic Resonance Imaging
License: ID #1040250
Radiologic Technologist, Computed Tomography
Primary License: ID #1040250
All Addresses
MAILING
12585 TRINIDAD ST
CALDWELL, ID, 836075571