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Mrs. HOLLY MARIE HEIDEMANN ToxicologyFacilitato

Individual Provider (NPI-1) Active

Clinical Medical Laboratory

Provider Information

NPI Number
1750040432
Provider Type
Individual Provider (NPI-1)
Credentials
ToxicologyFacilitato
Status
Active

Contact & Location

Address
350 YELLOWSTONE AVE, POCATELLO, ID, 83201
Phone
(208) 233-0940
Fax
(208) 233-0942

Specialties & Taxonomies

Clinical Medical Laboratory Primary

All Addresses

LOCATION

350 YELLOWSTONE AVE

POCATELLO, ID, 83201

(208) 233-0940

MAILING

350 YELLOWSTONE AVE

POCATELLO, ID, 83201

(208) 233-0940