STACEY LYNN ADAN CST
Individual Provider (NPI-1)
Active
Specialist/Technologist, Other, Surgical Assistant
Provider Information
- NPI Number
1962367029- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CST
- Status
- Active
Contact & Location
- Address
- 8800 W EMERALD ST, BOISE, ID, 837048205
- Phone
- (208) 373-5000
Specialties & Taxonomies
Specialist/Technologist, Other, Surgical Assistant
Primary
All Addresses
MAILING
16 S BINGHAM ST
NAMPA, ID, 836517650